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: ญญญญญญญญญญญญญญญญญญญ________________________ 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: _____
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')
Name of Campaign Ribbon or Medal:____________________
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