|
JAMESTOWN,PA |
Yes, I
Want to join JAMESTOWN, PA AMVETS I certify that I meet |
|
| 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