rev. December 2016 DW VFW Post 1760 Membership Application

Name: Address: First Middle Initial Last Street / Apt. Email: City State Zip Phone: Date of Birth: Dates of Service: to mm / dd / yyyy mm / yy mm / yy Branch of Service: o Army Status: o Active Duty Gender: o Male Location(s) of Overseas Service: ¨ Navy ¨ ¨ Female ¨ Air Force ¨ Nat. Guard/Reserve ¨ Decline ¨ Marines ¨ Coast Guard Qualifying Foreign Service

Are you or have you ever been a member of Student of ¨ Inherent Resolve Campaign medal America (SVA)? ¨ Yes ¨ No ¨ ¨ Campaign medal I hearby apply for ¨ Annual ¨ Life Membership ¨ Global War on Terrorism Expeditionary medal to VFW Post 1760 in Mesa, ¨ Korea Defense Service medal ¨ VFW Pledge: I do, of my own free will and accord, solemnly ¨ Southwest Asia Service medal promise and declare that: ¨ Armed Forces Expeditionary medal ¨ I will bear true allegiance -- to the Constitution of the United ¨ Navy & Marine Corps Expeditionary medal States of America -- and I will always be loyal thereto. I do ¨ (1950-54) further solemnly promise and declare -- that I will comply ¨ Navy Occupation Service medal with the Congressional Charter -- By Laws and Ritual of ¨ Army of Occupation this order -- and I will always be loyal thereto -- that I will ¨ European-African-Middle Eastern Campaign never wrong or defraud this organization -- nor a member ¨ American Defense Service (w/foreign service clasp) thereof -- nor permit any wrong to be done to either -- if in ¨ China Service my power to prevent it. I will never propose for member- ¨ Asiatic-Pacific Campaign medal ship -- any person not eligible -- nor one whom I know to be ¨ unworthy. I will never make known to anyone -- not autho- ¨ Air Force Combat Action medal rized to receive it -- any of the work of this order. Should my ¨ SSBN Nuclear Deterrent Patrol Breast Insignia affiliation -- with the Veterans of Foreign Wars of the United ¨ Combat Action badge States -- cease in any way -- I will consider this pledge -- as ¨ Combat Medical badge binding outside of this order -- as though I had remained ¨ Combat Infantryman badge a member of same. All this I promise and pledge -- upon ¨ Combat Action ribbon the honor of a true comrade -- and a citizen of our great ¨ Air Force Expeditionary Service ribbon w/gold border republic. ¨ Coast Guard Combat Action ribbon ¨ Hostile Fire / Imminent Danger Pay I attest that I am a citizen or national of the , ¨ I have served at least 30 consecutive OR that my Campaign Service was honorable, that I have 60 nonconsecutive days in Korea never subsequently been discharged from service under dishonorable conditions. I also certify that (1) I am *This area to be completed by Post 1760 Personnel entitled to a campaign ribbon or medal authorized by the Monies recieved: $ by on U.S. Government based on my overseas service or; (2) I mm / dd / yyyy have served in Korea or; I have received Imminent Danger/ Hostile Fire pay. I further give authority to the Veterans of I have investigated the character and campaign medal Foreign Wars to verify honorable overseas service entitling service of the applicant and hereby endorse him/her as me to membership. eligible and worthy of membership in the VFW.

Endorsement Signature & Date Applicant Signature & Date The review committee has performed its duties and recommends ¨ approval ¨ rejection *The annual dues of each member includes a year’s sub- scription to the VFW Magazine, official publication of the Committee Signature & Date Veteran of Foreign Wars of the United States. rev. December 2016 DW VFW Post 1760 Change Request form

Instructions for use of this form

• Please print clearly • Member’s old address is required for address changes. • Transfers: Member must be accepted by transfer under Sec. 107 of national bylaws. • Standard life membership card replaced at no cost. • Post Quartermaster must sign this form where indicated. Please include phone number.

Member Name: Membership No.: First Middle Initial Last Phone: Previous Post No.:

Email: VFW Membership type: ¨ Annual ¨ Life Membership

Current Address: Membership Request Street / Apt. (Can select more than one) ¨ Replacement Card City State Zip ¨ Post Transfer ¨ Previous Address*: Change of address (previous address required*) Street / Apt. ¨ Accidental Death ¨ Post AD & D Insurance City State Zip ¨Report Death (Source of Information)

(to be signed for Post transfers - MEMBER DECLARATION) I here certify that it is my desire to transfer my VFW Membership.

I further certify that I am not indebted to my former post, be it through oral or written commitment or otherwise, and that, to the best of my knowledge, no written charges have been preferred against me by my former post, and I understand that any such indebtedness or charge which may be disclosed any time hereafter will render this transfer null and void.

Applicant Signature & Date

(to be signed by Post 1760 Quartermaster) I certify that information submitted for the named member is correct to the best of my knowledge. I further certify that in the case of transfer, I will keep on file indefinitely form PT/MD (Post Transfer/Member Declaration), properly signed by the member and that the member was accepted by VFW Post 1760 under provisions of Sec. 107 national bylaws.

VFW Post 1760 Quartermaster Signature & Date VFW Post 1760 Quartermaster phone

** Retain this completed form at Post 1760 indefinitely Do Not Forward to National