Veterans of Foreign Wars of the United States
Membership/Life Membership Application
R.S. McMillin Post #11363

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                              Name :

Present Mailing Address:
                                  City:
                                State:                                                                  
                                    Zip:

Date of Birth:  Blood Type:
      Tel Home:   Bus Phone:

                    Enlistment Date:  Discharge date:
Served outside the U.S. with:
 Foreign Service from (date):  to (date):
Where: 

    Name of Campaign Ribbons or Medals:


If former member, Post #:   City:  State:

            I hereby apply for:  Annual      Life

Membership in VFW Post #11363, located in Bethel, Maine


LIFE MEMBERSHIP ONLY

CASH     CHECK     VISA     MASTERCARD     DISCOVER

EXP DATE:

CREDIT CARD NUMBER:

 LIFE MEMBERSHIP FEE:



I certify that I am a citizen of the United States, that my Campaign Service was honorable, that I have never subsequently been discharged from Military or Naval service under dishonorable conditions. I further state that I believe in God.

Date signed:
Signature of applicant:  Rank:
Typing in your name will constitute a valid signature and your agreement to submit the information in this application to R.S. McMillin Post #11363 for consideration as a member. In submitting this form, you also agree to the following:


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