MIDDLETOWNVFW POST 1170 On-Line Membership Application NAME: STREET ADDRESS: CITY: , STATE: KENTUCKY INDIANA TENNESSEE OHIO ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DIST. OF COL. FLORIDA GEORGIA HAWAII IDAHO ILLINOIS IOWA KANSAS LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING ZIP: TELEPHONE: DATE OF BIRTH: BRANCH OF SERVICE: ARMY AIR FORCE NAVY MARINES COAST GUARD EMAIL: PLEASE CHECK ALL THAT APPLY: WWII: KOREA 7/1/49 TO PRESENT: VIETNAM: GULF: EXPEDITIONARY MEDAL: OCCUPATION MEDAL: CIB/CMB: COMBAT ACTION: OPERATION IRAQI FREEDOM: Afagnistan: OTHER: A photocopy of your military separation document (DD214) and/or other documentation evidencing your eligibility will be required prior to final membership approval. OBLIGATION 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.
NAME:
STREET ADDRESS:
CITY: , STATE: KENTUCKY INDIANA TENNESSEE OHIO ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DIST. OF COL. FLORIDA GEORGIA HAWAII IDAHO ILLINOIS IOWA KANSAS LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING ZIP:
TELEPHONE:
DATE OF BIRTH:
BRANCH OF SERVICE: ARMY AIR FORCE NAVY MARINES COAST GUARD
EMAIL:
PLEASE CHECK ALL THAT APPLY:
WWII: KOREA 7/1/49 TO PRESENT: VIETNAM: GULF:
EXPEDITIONARY MEDAL: OCCUPATION MEDAL: CIB/CMB:
COMBAT ACTION: OPERATION IRAQI FREEDOM: Afagnistan: OTHER:
A photocopy of your military separation document (DD214) and/or other documentation evidencing your eligibility will be required prior to final membership approval. OBLIGATION 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.
A photocopy of your military separation document (DD214) and/or other documentation evidencing your eligibility will be required prior to final membership approval.
OBLIGATION
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.
