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_____ New Member _____ Renewal - Member Number: _______________________ _____ Transfer to Post 199 - Member # ________________ Post # _____ Name ____________________________________ Address __________________________________ City/State/Zip ______________________________ ;Phone _________________ Service and Active Duty Dates: _____ 8/2/90 to Present date _____ 12/20/89 to 1/31/90 _____ 8/24/82 to 7/31/84 _____ 2/28/61 to 5/7/75 _____ 6/25/50 to 1/31/55 _____ 12/7/41 to 12/31/46 ____ Army, ____ Navy, ____, Air Force, ____ Marines, ____ Coast Guard Signature of applicant: ___________________________ Member Dues $ 40 /yr. |