Please complete this form and someone from our membership team will contact you to process your application.Name*FirstLastAddress*Street AddressCity*State*Please selectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip codePhoneDigits OnlyEmail address*Date of BirthVeteran for eligibility*Provide full nameIs VeteranLivingDeceasedAmerican Legion Member #Relationship to VeteranPlease selectMotherWifeGrandmotherSisterDaughterGranddaughterSelfService Era (most recent)Please selectGULF WAR/CURRENT - Aug 2, 1990 - PresentPANAMA - Dec 20, 1989 - Jan 31, 1990LEBANON - Aug 24, 1982 - Jul 31, 1984VIETNAM - Feb 28, 1961 - May 7, 1975KOREA - Jun 25, 1950 - Jan 31, 1955WWII - Dec 7, 1941 - Dec 31, 1946WWI - Apr 6, 1917 - Nov 11, 1918Select date range in which you performed active duty service.Branch of ServicePlease selectU.S. ArmyU.S. NavyU.S. MarinesU.S. Air ForceU.S. Coast GuardU.S. Merchant MarineAre you currently or were you previously a member of any American Legion Post?YESPost NumberPost StatePlease selectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingMember NumberIf knownSubmit FormThis field should be left blank