American Legion Auxiliary
Application for Membership


Please print this page.
Complete and sign your application,
include your $17 membership fee (check or money order), and send to;

American Legion Auxiliary
Department of Minnesota
State Veterans Service Building
20 W 12th Street - Room 314
St. Paul, MN 55155


New Member Information
Applicant's Full Name
   (First M. Last)
  
Date of Birth (mm/dd/yyyy)   
      Senior   Junior (under 18)
Mailing Address   
City, State, Zip   
Daytime Phone   

Veteran Information
I am eligible for membership through the service of (full name of veteran):   
   Living Deceased
Veteran is a member of American Legion Post # / City / State (if living)   
 
The Veteran (living or deceased) served in:    Persian Gulf War (8/2/90 until the
     cessation of hostilities as determined
     by the US Government
)
Panama (12/20/89 - 1/31/90)
Grenada/Lebanon (8/24/82 - 7/31/84)
Vietnam (2/28/61 - 5/7/75)
Korea (6/25/50 - 1/31/55)
WWII (12/7/41 - 12/31/46)
WWI (4/6/17 - 11/11/18)
Applicant's Relationship to the Veteran (step-relatives are eligible):   
Mother Wife
Sister Daughter
Granddaughter Great-Granddaughter
Grandmother Self

Verification
I certify that the above named individual served at least on day of active duty during the dates marked above and was honorable discharged.
Signature of Applicant/Date   
Membership Verification (office use only)