AMVETS, POST#14







    AMVETS, POST #14

Portsmouth, Virginia  23704

Serving Our Veterans and Their Family

AMVETS POST 14 MEMBERSHIP APPLICATTION



MEMBERSHIP TYPE:     ANNUAL  ____  $40.00 OR LIFETIME___ $250.00


NAME:_________________________________________________



ADDRESS:_______________________________________________


CITY: _____________________STATE_________ZIP CODE_________


GENDER:   MALE____ FEMAIE_____



EMAIL MAIL ADDRESS:___________________________________________________________



HOME  PHONE:_________________________CELL PHONE:______________________________



DATE OF BIRTH:______________________BRANCH OF SERVICE:___________________________



DATE ENTERED SERVICE:_______________________DATE OF DISCHARGE:___________________



TYPE OF DISCHARGE:______________________________________________________________



SIGNATURE:_______________________________________________DATE:__________________



YOUR RECRUITER NAME:____________________________________________________________



PLEASE BRING US A COPY OF YOUR DD214 FOR PROOF OF SERVICE