Print application, fill out, sign and, Mail with $35.00 Dues, and A copy of your DD-214 to:

William Merritt Hallock Post 155 American Legion
Membership Chairmen
115 Church Street
Ronkonkoma, NY 11779

The American Legion Membership Application
(Name)_______________________________________

(Phone)___________________

(Address) ___________________________________

(Date)____________________

(City)_______________________________________

(State)______________________________________

(Zip)____________________

Please check appropriate eligibility dates

Aug 2, 1990 - cessation of hostilities as determined by U.S. Government.
Dec. 20, 1989 - Jan. 31, 1990
Aug. 24, 1982 - July 31, 1984
Feb. 28, - May 7, 1975
June 25,1950 - Jan. 31, 1955
Dec. 7, 1941 - Dec. 31, 1946
April 6, 1917 - Nov. 11, 1918
U.S. Army U.S. Navy U.S. Air Force U.S. Marines
U.S. Coast Guard Merchant Marines 12/7/41 - 8/15/45 (only eligibility).

I certify that I served at least one day of active military duty during the dates marked above and was honorably
discharged or am still serving honorably.

_________________________________
Signature of applicant

_________________________________
Name of recruiter