ALA Membership Form

Please fill out this form, print it, send it with your dues to:

American Legion Post 384, 502 E. Penn St., Post Office Box 423, Hoopeston, IL 60942

Name:

Phone Numbers: Work Home

Mailing Address:

City: State: Zipcode:

E-Mail Address:

Date: Post #: Dues: [$20]

Date of Birth: Senior (over 18) Junior (18 or less)

 

Elgibility Information:

Name of Veteran Eligible Through:

Living Deceased

Post # City: State:

Legion Member ID #

Veteran Served in:
Aug. 2, 1990 to end of hostilities [Gulf War]
Dec. 20, 1989 to Jan, 31, 1990 [Panama]
Aug. 24, 1982 to July 31, 1984 [Lebanon & Grenada]
Feb. 28, 1961 to May 7, 1975 [Vietnam War]
June 25, 1950 to January 31, 1955 [Korean War]
Dec. 7, 1941 to Dec. 31, 1946 [WW II]
April 6, 1917 to November 11, 1918 [WW I]
Dec. 7, 1941 to August 15, 1945 [Merchant Marines]

Applicant's Relationship to the Veteran (step relatives are eligible):

Mother Wife Daughter Sister Granddaughter

Great-Granddaughter Grandmother Self

I certify that the above named individual served at least one day of active duty during the dates marked above and was honorably discharged or is still serving honorably.

Signature: __________________ Name of recuiter:

I am interested in learning more about the following:

Paid-Up-For-Life Membership (VIM) Scholarships

Fundraising Volunteering at a VA Medical Center

Community Volunteerism/Assistance

Member Benefits Participating in Educational Activities

Auxiliary Emergency Fund Working with Young People

Helping with Unit Activities

Other

The following individual(s) might also be interested in joining or volunteering.

Please contact: Phone:

Please contact: Phone:

Please contact: Phone: