New Member Application Template
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1NEW MEMBER APPLICATION
Recruited by: _________________________
PLEASE PRINT CLEARLY
LAVFWHQ REVISED 12-11
Auxiliary No. _________ City ___________________________ State ________
Ladies
Annual Membership
Life Membership
Auxiliary
to the VFW
Member-at-Large
Life Member-at-Large in Department of ___________ or in
National
Name ______________________________________________________________ Date of Birth _____/ _____/________
Address ____________________________________________________________________________________________
City ______________________________________________________________ State _________ ZIP ________________
Phone ( ______) __________-_______________ E-mail ______________________________________________________
POST AFFILIATED: (*Must be a member to the VFW Post affiliated with the Ladies Auxiliary to which you are applying.)
Relationship ________________ to Eligible Veteran* _____________________________ VFW Membership ID _________
OR
NON AFFILIATED: (*Veteran is not a member of the VFW Post affiliated with the Ladies Auxiliary to which you are applying.)
Relationship ________________ to Eligible Veteran* _____________________________ VFW Post _________ (If applicable)
Name of campaign ribbons or medals: __________________________________________________________________
Foreign Service ____/_____/____ to ____/____/____ Location: ______________________________________________
I certify that I am a citizen of the United States or U.S. National and I pledge to comply with the National Bylaws of the Ladies Auxiliary
to the Veterans of Foreign Wars of the United States. I affirm that the above eligibility is true and correct, and that I am 16 years of age
or older. I further state that I believe in God.
Applicant’s Signature ____________________________ Date _____________
Investigating Committee: 1) ________________________ 2) ____________________________ 3) __________________________
Per Section 105 of the National Bylaws.
Rejected
Election Date______________ Obligated Date_______________
OBLIGATION
In the presence of Almighty God and the members of this organization here assembled, I do of my own free will and accord, solemnly promise that I will never wrong or
defraud this organization nor a member thereof nor permit either to be wronged if in my power to prevent it. I will never propose for membership any person not eligible,
according to our Bylaws. I further state that I believe in God. I will be faithful to the United States of America, obedient to the laws and loyal to the Flag. Should my
membership with this organization cease in any way, I will consider this obligation as binding outside of the organization as though I had remained a member. I do so
promise. ___________________________ Signature
Must be signed by all members.
LIFE MEMBERSHIP FEES
Please contact Ladies Auxiliary VFW
NEW MEMBER - LIFE MEMBERSHIP
Check here if
Attained age at 12/31 of year
Treasurer ___________________ at
this is a gift. Card will be mailed to the Auxiliary Treasurer
applying for Life Membership.
_________________ with any
Through 20
$220
Payment:
Cash
Check
Visa
questions regarding your
21-25
$210
Mastercard
Discover
26-30
$200
membership. You can also learn more
31-35
$190
ACH (Bank withdrawal)
about the Ladies Auxiliary VFW at
36-40
$185
41-45
$175
Life Membership Fee $__________
46-50
$170
C. C. # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
51-55
$160
CVV Code __ __ __ Exp. _____/______
56-60
$150
Name of Bank ____________________________
61-65
$140
Bank Routing No. __ __ __ __ __ __ __ __ __
66-70
$130
Account No. _____________________________
71-75
$115
76-80
$95
81-85
$75
____________________________ ____________
86-90
$60
Signature
Date
91 and over
$50
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