Veterans of Foreign Wars
Jack Ray Post 5789

Outstanding National Community Service Post
2000-2001, 2001-2002, 2002-2003


329 SE Douglas
Lee's Summit, Missouri
 

VFW Post 5789 Membership Application

To join, please print this page and mail it to:
VFW Post 5789
329 SE Douglas St.
Lee’s Summit, MO 64063

YES! I'M READY TO JOIN THE RANKS!
For more information please call 816-525-5789

Name:  
Address:  
City/State/Zip:  
Home of Record:  


  Check all that apply:

___Army          ___WWII               ___Expeditionary

___Navy           ___ Korea          ___Occupation 
(7/1/49 to present)
___Air Force          ___Vietnam          ___CIB/CMB

___Marines          ___Desert Storm          ___Combat Action

___Coast Guard          ___Other__________________________

    
  

  SSN or Service #______________________________

    Overseas service from_________to__________Where:__________________
              
    Name of Campaign Ribbon or Medal__________________________________
    (Note:  Ribbon or Medal not required for service in Korea)
                              
    Date of Birth:_____________


                           
  New Member -$32 ___Annual Dues - $32  ___ or Life Membership - $_______
   Method of payment:
   ___Check enclosed (payable to Veterans of Foreign Wars.)
   ___Charge my credit card:
   ___MasterCard  ___VISA  ___Discover
      Card Number:__________________________________
      Exp. date:____________________________________


I attest that I am a citizen of the United States, that my U.S. Military
Service was honorable, that I have never subsequently been discharged under
other than honorable conditions, and that I believe in God.  I also attest
that (1)I am entitled to a campaign ribbon or medal authorized by the U.S.
Government based on my overseas service or; (2)I have served overseas in
Korea.  I further give authority to the Veterans of Foreign Wars of the
United States to verify my entitlement to membership.


______________________________________________________________________
Date signed                            Signature of Applicant                                    Telephone No.


LIFE MEMBERSHIP FEES
     ATTAINED AGE   LIFE MEMBERSHIP FEES
Through 30           $425.00
  31 - 40             $410.00
  41 - 50             $375.00
  51 - 60             $335.00
  61 - 70             $290.00
  71 - 80             $225.00
81 and over           $ 170.00

The applicable fee from the life membership fee schedule set forth herein will be determined using the applicant's attained age as of December 31st of the current calendar year in which the application is submitted regardless of actual date of birth.

The annual dues of each member includes a year's subscription to The VFW Magazine, official publication of the Veterans of Foreign Wars of the U.S. Each applicant, upon acceptance, will be so notified and furnished with an official dues receipt showing membership for the year for which dues or Life Membership fees have been paid.

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