The American Legion Membership Application

Post 160 — Smyrna. Dues are due with this application.

Name

Date of Birth

Mailing Address

Phone Number

City

State

Zip

Post #

E-mail

Gender

Male

Female

Dues

I certify that I served at least one day of active military duty since December 7, 1941 and was honorably discharged or am still serving honorably.

Service era and branch of service

Check at least one box in each column (both are required).

Signature of applicant

Date