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* =
Required field
Yes! I
want to join the VFW and continue serving my country, my community
and my fellow man.
Please enter your personal information:
*First
Name _______________________
*Middle
Initial _____
*Last
Name _______________________
*Street
Address ____________________________
*City
________________*State
_____*Zip
________
Email
_____________________________Phone ___________________
*Service
Number or SSN ____________________*Birth
date __________________
Date format 'mm/dd/yyyy'
If
you're on active duty, please fill in your permanent hometown
address:
Same as above
_____ (check mark)
Street
Address or P.O. Box ____________________________
City________________ State______ Zip______
Service
information:
Note: Name of Campaign Ribbon or Medal is NOT required if your
eligibility is based on receipt of imminent danger/hostile fire pay
or service in Korea.
*Branch
(choose one) ____ Army____ Marine Corps____ Navy____ Air Force____
Coast Guard
*Eligibility
(choose one)____ WW II____
Occupation Medal____ Korea (7/1/46 to present)____ Vietnam
____ CIB/CMB____ Desert
Storm____ Combat Action Ribbon____ Imminent danger/hostile fire
pay
____
Expeditionary Medal____ Campaign Medal _____Other
*Describe
Other: _____________________________________________________________
*Overseas
from: ____________________ to: ____________________
(mm/dd/yyyy)
*Service
Location:____________________*Name
of Campaign Ribbon or Medal:____________________
*Membership
Type:
(choose one)
IF you chose Life Membership, please choose one membership fee:
____
Annual $25 ____ Life
Membership
____ up to age
30 = $245 ____ 31 through 40 years = $235 ____ 41 through 50 years =
$215
____ 51 through
60 years = $195 ____ 61 through 70 years = $165 ____ 71 through 80
years = $125
____ 81+ years
= $85
Any applicant whose 31st, 41st, 51st, 61st, 71st or 81st birthday
will occur after the date of applicationand on or before December
31st of the current calendar year, shall pay only the fee that would
be required on his next birthday.
*Attestation
of Eligibility:
Yes! I
attest by forwarding this application that I am a citizen of the
United States and I have
checked the membership eligibility
for the Veterans of Foreign Wars of the United States and find that
I am eligible for membership in the VFW and that I have never been
discharged under other than honorable conditions or I am still
serving honorably in the armed forces of the United States of
America. I further give authority to the Veterans of Foreign Wars of
the United States to verify my entitlement to membership.
*Signature
of Applicant ______________________________*Date
Signed ________(mm/dd/yyyy)
*Payment Information:
Check
enclosed in the amount of $_____________
(payable
to Veterans of Foreign Wars)
Print
and mail this completed application to:
Membership Department
VFW Post 3016
299 Kings Bend Rd
Selma, AL 36701-7334
Questions: Telephone:
334-874-9277 Email:
MEMBERSHIP
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