On-Line Download Mail-In Form - Headquarters Post 200

2006 Membership Application   -  Mail completed application to:

The American Legion
Department of New Hampshire
Attn: Post 200 Membership
25 Capital Street
Room 431

Concord, NH 03301-6312

Please print and complete the appropriate entries:


First Name: _______________   Middle Initial: ___   Last Name:________________________

Mailing Address:_____________________________________________________________

City: _____________________________________State: __________Zip: ______________

Home Phone:  (___  )__________________      Cell Phone:  (____)______________________

Date of Birth: ______________________    Email Address:_____________________________

Please include a copy of your Discharge Papers ie. DD214
 
My annual Post 200 dues of $25.00 are paid by:
        Personal Check o    Money Order o    Bank Check o
 
         

    Eligibility Dates:
           o August 2, 1990 - Open Persian Gulf War
           o Dec. 20, 1989 - Jan. 31, 1990 Panama
           o Aug. 24, 1982 - Jul. 31, 1984 Grenada/Lebanon
           o Feb. 28, 1961 - May 7, 1975 Vietnam War
           o June 25, 1950 - Jan. 31, 1955 Korean War
           o Dec. 7, 1941 - Dec. 31, 1946 World War II
           o Apr. 6, 1917 - Nov. 11, 1918 World War I

Branch Of Service:
   o U.S. Army
   o U.S. Navy
   o U.S. Air Force
   o U.S. Marines
   o U.S. Coast Guard

o  I certify that I have served at least one day of active military duty during the
era marked above and was honorably discharged or am still serving honorably.

 o  I would like to be assigned to an American Legion Post nearest my home.
 

 Signature of Applicant___________________________________  Date:___________________