MEMBERSHIP APPLICATION
YES! I’ll help my fellow veterans by becoming a member of The American Legion. I certify that I served at least
one day of active military duty during the dates marked below and was honorably discharged or am still
serving honorably. If discharged, please attach copy of DD-214, if still serving, attach copy of ID Card.
After application is Completed, print and bring to Post 163, located at 1633 Atlanta Hwy. Statham, Ga 30666
Wednesday mornings 9-11 am during our FREE Veterans Breakfast or Wednesday - Saturday 4 - 11 pm.
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Dates of Service Branch of Service
_____April 6, 1917 – Nov 11 1918 U.S. ARMY ______
______Dec 7, 1941 – until a time when the U. S. is - U.S. NAVY ______
No longer at war, as determined by Congress U.S. AIR FORCE ______
U.S. MARINE CORP ______
U.S. COAST GUARD ______
Name: ____________________________________________
Address: __________________________________________
City, State, Zip______________________________________
Birth Date: ________________ Email:________________________________
Phone:____________________If former Legion Member, my membership # is:_______________
Signature: __________________________________________________
My $40.00 check or money order is enclosed with copy of DD-214 or Military ID Card.
To obtain copy of DD-214 online: https://www.archives.gov/veterans