




Yes! I want to become a Member of Post 12002 and continue serving my country, my community and my fellow veterans.
First Name: MI: Last Name: DOB:
Address:
City: State: Zip:
Phone:
Membership Card #:
Email:
Membership Type:
From To
Foreign Service Dates:
Foreign Service Location:
Post No. City State
If a former member:
Life Membership Fee Schedule (based on age):
(Please note fees went up as of 1 January 2007)
Fee schedules:
up to age 30 = $425
31 - 40 = $410
41 - 50 = $375
51 - 60 = $335
61 - 70 = $290
71 - 80 = $225
81+ = $170
Send no money now. We will send a dues request based on your age.
I attest that I am a citizen of the United States, that my US Military Service was honorable, that I have never subsequently been discharged under other than honorable conditions, and that I believe in God. I also certify that (1) I am entitled to a campaign ribbon or medal authorized by the US Government based on my overseas service or; (2) I have served overseas in Korea. I further give authority to the Veterans of Foreign Wars of the United States to verify honorable overseas service entitling me to membership.
In lieu of a physical signature, I understand that my typed name and the last four numbers of my social security number will serve as an electronic signature.
Signature: Date:
If this is a Membership Transfer: From Post: to Post: State:
