Back to Previous Page Back
--or--
download the Word or PDF form and after completed mail to the address below!

On-Line Mail-In Form - The American Legion Lt. Owen Fish Memorial Post 143

Membership Application - Mail completed application to:

    Download Application
    (a new window will open)

      PDF format - size: 19KB
     MS Word - size: 74KB

Lt. Owen Fish Memorial Post 143, The American Legion Attn: Post 143 Membership
1443 Stratfield Road P.O Box 1084 S.M.S Fairfield, CT 06825

Please print and complete the appropriate entries:


First Name: ______________________________________   Middle Initial: ___    Last Name: _________________________________________

Mailing Address: ____________________________________________________________________________________________________

City/State/Zip: ________________________________ Phone No:____________________

Occupation: _______________________________________ Business Address:____________________

Birth Date (Month/Day/Year):________________ Place of Birth:__________________ Serial/Service#:___________________

Were you wounded(Y/N):_____

Date of Enlistment:____/_____/______ Enlisted at:__________________________ Date of Discharge:_____/______/________

Discharged at:___________________________________ Character of discharge:_____________________________________


Eligibility Dates:
   August 2, 1990 - Open Persian Gulf War
   Dec. 20, 1989 - Jan. 31, 1990 Panama
   Aug. 24, 1982 - Jul. 31, 1984 Grenada/Lebanon
   Feb. 28, 1961 - May 7, 1975 Vietnam War
   June 25, 1950 - Jan. 31, 1955 Korean War
   Dec. 7, 1941 - Dec. 31, 1946 World War II
   Apr. 6, 1917 - Nov. 11, 1918 World War I

Branch Of Service:
   U.S.Army
   U.S.Navy
   U.S.Air Force
   U.S.Marines
   U.S.Coast Guard


      I certify that I have served at least one day of active military duty during the
       date(s) marked above and was honorably discharged or still serving honorably.

 
Signature of Applicant___________________________________  Date:_____________

-----Below is for American Legion Post 143 use ONLY-----


Application turned in by: _____________________Discharge inspected by:________________________

Application elected/rejected at Post 143 meeting on (Month/Day/Year): _______/_______/___________

Dues accepted by: _______________ First Card No. ___________Dues to Dept. HQ on:______________

Signatures: Finance Officer: ___________________________Adjutant: ______________________

Commander: ________________________________________________________

 



                                                                                       

Web site written by: Ron Drew           Disclaimer & Legal Notice     Copyright © 2017 American Legion Lt. Owen Fish Memorial Post 143        Add as Favorite