SAL 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

Detachment of: Squadron #

Name: Phone Number:

Mailing Address:

City: State: Zipcode:

E-Mail Address:

Date: Post # Dues: [$16]

Birth Date:

Veteran through whom eligibility is established:

(a) Above is a member in good standing of Post #

(b) Above is a dedeased veteran who served honorably from to

(c) Relationship of applicant to veteran

I hereby subscribe to the Constitution of the Sons of The American Legion.

Signature: __________________ Name of recuiter:

Elgibility certified by: ______________________________ (Post Adjutant)