membership app vfw 8-7-17

VFW POST 149 MEMBERSHIP APPLICATION

Use this form to apply to become a member of VFW Post 149. Please note that you will still need to send your application fee via regular mail to this address:
VFW Post 149
Attn: Membership
5 Byron Street
Danbury, Connecticut 06810

ALL FIELD WITH AN * ARE REQUIRED

Yes! I want to join the VFW and continue serving my country,

First Name *

Last Name *

Street Address Line 1 *

Street Address Line 2

City *

State *

Postal / Zip Code *

Country (Please Select) *

Email

Phone Number (include Area Code) *

Birth Date (Use Numbers)

Month *

Day *

Year *

If you’re on active duty, please fill in your permanent home town address:

Street Address Line 1

Street Address Line 2

City

State

Postal / Zip Code

Country (Please Select)

Branch (check all that apply) *

Eligibilty *

If "Other" above, explain

Overseas From

Month *

Day

Year *

TO

Month *

Day

Year *

Service Location *

Name of Campaign Ribbon or Medal *

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. In these cases, "N/A" is an acceptable answer.

Membership Type *

Annual $ Life Membership

If you choose Life Membership, please choose one membership fee:

Up to age 30 = $425 31 through 40 years = $410 41 through 50 years = $375 51 through 60 years = $335 61 through 70 years = $290 71 through 80 years = $225 81+ years = $170

Any applicant whose 31st, 41st, 51st, 61st, 71st or 81st birthday will occur after the date of the application and on or before December 31st of the current calendar year, shall pay only the fee that would be required on his next birthday.

Yes! I attest by forwarding this application that I am a citizen of the United States and I have checked the membership eligibility requirements 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 Unite States to verify my entitlement to membership.

Applicant's Electronic Signature *

Date *

A Check will be sent in the amount of $:

Please Make Checks Payable to Veterans of Foreign Wars and Mail to:

Attn: Membership
5 Byron Street
Danbury, Connecticut 06810