ORLAND MEMORIAL POST 111
ORLAND MEMORIAL POST 111
AMERICAN LEGION
Membership Application
Yes! I will help my fellow veterans by becoming a member of The American Legion.
I certify by forwarding this application 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. I am submitting forty ($40.00) dollars for annual membership in the American Legion, along with a copy of my DD-214 discharge form, or a copy of my current Military Identification Card to: ORLAND MEMORIAL POST 111, P.O. BOX 413, ORLAND PARK, IL 60462.
Prefix: (Ex: Dr, Rev, Ms, Mrs, Mr.) ______
First Name ________________Middle Initial ___ Last Name _______________________
Suffix (Ex: Sr, Jr, ) ______ Date of Birth (MM/DD/YYYY) ____/____/_______
Address Line 1 _____________________________________________________________________
Address Line 2 _____________________________________________________________________
City __________________________________State _________Zip Code_____________
Phone No. (_____)_____________________ E-Mail ____________________________
Dates of Service Branch of Service
___ Aug 2, 1990 to Present ___ US ARMY
___ Dec 20, 1989 to Jan 31, 1990 ___ US AIR FORCE
___ Aug 24, 1982 to Jul 31, 1984 ___ US COAST GUARD
___ Feb 28, 1961 to May 7, 1975 ___ US MARINE CORPS
___ Jun 25, 1950 to Jan 31, 1955 ___ US NAVY
___ Dec 7, 1941 to Dec 31, 1946 ___US MERCHANT MARINES (12/41 to 12/46)
(Signed) ______________________________________________________
Date____________________________