Membership Application Form

The American Legion, Jonathan D. Rozier, Post 164, Katy TX

Name:   
Address:   
CIty:   
State:   
Zip:   
Phone Number:   
Email Address:   
Date Of Birth:   
Male/Female:   
Recruited By:   

Conflict Served (Check One):







Branch Served (Check One):





My electronic signature certifies that I served at least one day of active military duty during the era marked avove and was honorably discharged or I am still serving honorably. I will furnish a copy of my proof of Honorable Service (DD-214, orders, etc.) within 30 days to the Post Adjutant. All memberships are subject to approval by the Post membership.
Typed Signature of Applicant:
Date:



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