On-Line Download Mail-In Form - Post 1170

2009 Membership Application

Mail Completed Application to:

The American Legion
Post 1170
Attn: Membership
111 E. Main Street
Round Lake Park, Illinois  60073

Please Print and Complete the Appropriate Entries:

Last Name:_________________________________

Mailing Address:____________________________________________________________________

City: ________________________________State: __________Zip: _______________

Home Phone:  (_________)______________________________

Eligibility Dates:
   August 2, 1990 - Open Persian Gulf War
   Dec. 20, 1989 - Jan. 31, 1990 Panama
   Aug. 24, 1982 - Jul. 31, 1984 Grenada/Lebanon
   Feb. 28, 1961 - May 7, 1975 Vietnam War
   June 25, 1950 - Jan. 31, 1955 Korean War
   Dec. 7, 1941 - Dec. 31, 1946 World War II
   Apr. 6, 1917 - Nov. 11, 1918 World War I

 I certify that I have served at least one day of active military duty during the
date(s) marked above and was Honorably Discharged or still serving Honorably.

          Signature of Applicant___________________________________  Date:___________________