VFW Membership Application   (Word Doc Print Version)

Yes! I want to join the VFW as a member of Hollis VFW Post 11373 and continue serving my country, my community and my fellow man.

Please enter your personal information:

First Name _______________________  Mid. Initial _____  Last Name  _______________________

Street Address (Mailing):  _____________________________________________________________

Town/City:  ___________________________________   State:  ___________   Zip: ______________

Phone:   ­­­­­­­­­­­­­­­­­­­________________________  Service or SSN ________________________

Birth Date:  _______________________     Email Address:  ___________________________________

If you're on active duty, please fill in your permanent hometown address:

Street Address:  _________________________City: ____________________ State: _____ Zip: _____

Service information:
Note: Name of Campaign Ribbon/Medal NOT required if your eligibility is based on receipt of imminent danger/hostile fire pay or service in Korea.

Branch Eligibility (choose one)
 ____ WW II ____ Occupation Medal
____ Air Force ____ Korea (7/1/46 to present) ____ CIB/CMB
____ Army ____ Vietnam ____ Combat Action Ribbon
____ Coast Guard ____ Desert Storm ____ Imminent danger/hostile fire pay
____ Marine Corps ____ Expeditionary Medal ____ Other
____ Navy ____ Campaign Medal Describe Other:________________
Overseas from:____________________*to:____________________ (format 'mm/dd/yyyy')
Service Location:____________________
Name of Campaign Ribbon or Medal:____________________

Membership Type:
Membership Type: (choose one) IF you chose Life Membership, please choose one membership fee:

____ Annual $30     ____  Life (See Quartermaster for current rate.)

Any applicant whose 31st, 41st, 51st, 61st, 71st or 81st birthday will occur after the date of 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.

Payment Information:     Attestation of Eligibility:     Check is enclosed in the amount of   $         .            

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.

Signature of Applicant:  ________________________     Date Signed:  ______________

Mail Application to:  Post Commander, PO Box 1012, Hollis, NH 03049