Amvets Membership Application

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AMVETS Membership Application
Yes, I want to join AMVETS! I certify that I meet the membership requirements—
I am serving or have honorably served in the U.S. Armed Forces (Active, Guard or Reserve) after September 15, 1940.
Membership Type:
MAL Annual ($30.00*)
Life ($250.00 *as of 1/1/2012 )
Name: __________________________________________________________________
Address: ________________________________________________________________
City: ___________________________________________________________________
State: ______ ZIP Code: ___________________________________________________
Gender:
Male
Female
E-mail Address: __________________________________________________________
Home Phone: ____________________________________________________________
Date of Birth: ____________________________________________________________
Branch of Service: ________________________________________________________
Date Entered Service: _____________________________________________________
Date of Discharge: ________________________________________________________
Type of Discharge: ________________________________________________________
Method of Payment:
VISA
MasterCard
Check or Money Order
Credit Card Number:
Expiration Date: ____ /____
$__________________
Signature: _______________________________________________________________
Date: ___________________________________________________________________
* A national minimum amount that many vary from state to state or from post to post.
Members must be prepared to provide proof of military service.
AMVETS Membership Department
4647 Forbes Boulevard
Lanham, MD 20706-4380
1-877-726-8387

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