AMERICAN LEGION MEMBERSHIP APPLICATION FORM
HENRY F. LEFKO AMERICAN LEGION POST 1644
PRINT and FILL OUT Form
HAND DELIVER or MAIL TO:         AMERICAN LEGION POST 1644
                                                        81 East Street,  Mechanicville, NY 12118

YES! I’ll help my fellow veterans by becoming a member of The American Legion. I certify that I served at least I one day of active military duty during the dates marked below and was honorably discharged or am still serving honorably.

ATTACHED IS A COPY OF MY DD214 as PROOF OF SERVICE
TO REQUEST A COPY OF YOUR DD214 ONLINE  - CLICK HERE
My $20.00 annual dues check or money order is also enclosed.

Name _______________________________________________________________

Address _____________________________________________________________

City, State, Zip ________________________________________________________

Phone Number  _________________________  Birth Date ____________________

Signature ____________________________________________________________

Please check applicable "Date of Service" and "Branch of Service"

U.S. MERCHANT MARINE —DEC. 7, 1941 - AUG. 15, 1945 _____
U.S. ARMY  _______
U.S. NAVY  _______
U.S. AIR FORCE ______
U.S. MARINES ______
U.S. COAST GUARD _____

AUG 2, 1990—OPEN _____
DEC. 20, 1989—JAN. 31, 1990 _____
AUG. 24, 1982—JUL. 31, 1984 _____
FEB. 28, 1961—MAY 7, 1975 _____
JUNE 25, 1950—JAN. 31, 1955 _____
DEC. 7, 1941—DEC. 31, 1946_____
APR. 6, 1917—NOV. 11, 1918 _____

Please tell us how/where you heard about The American Legion POST 1644:
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