JAMESTOWN,PA
AMVETS POST 322

Membership Application


Yes, I Want to join JAMESTOWN, PA AMVETS  I certify that I meet
The membership requirements - I have served or am currently serving
on active duty in the U.S.Armed Forces, National Guard, or Reserves.

Membership Type: [ ] Annual ($20.00)   [ ] Life ($150.00)
Name: _________________________________________________
Address: _________________________________________________
City: _________________________________________________
State: ________________________
ZIP: ________________________
Gender: [ ] Male  [ ] Female
Home Telephone: _________________
Date of Birth: _________________  DD/MM/YYYY
Branch of Service: _________________
Date Entered Service: _________________  DD/MM/YYYY
Date of Discharge: _________________  DD/MM/YYYY
Type of Discharge: _________________
Name of Spouse _______________________
Payment Method: [ ] Check  Check #: ___________ [ ] Cash
 

Signature:

 

_________________________________________________

Date: ________________________

Fill out this form and mail, along with payment and a copy of
your DD-214 or current active or reserve military ID card to:

AMVETS POST 322
PO BOX 358
JAMESTOWN, PA 16134