* Membership Application *

Complete, print and mail the signed form along with your DD-214 to:

American Legion Post 280

469 N. Battlefield Blvd

Chesapeake VA 23320

First Name: Middle Initial (as req'd)


Last Name: Suffix:

Telephone Area Code: Telephone Number:

Mailing Address: Apt.#:

City: State: Zip:

E-mail Address:

My annual dues ($43.00) will be paid by: Personal Check: Money Order: Cashiers Ck.

I served during the following period(s):
Check which ones are applicable.

   August 2, 1990 - Open
Dec.20, 1989 - Jan.31, 1990
Aug.24, 1982 - Jul.31, 1984    
Feb. 28, 1961 - May 7, 1975
June 25, 1950 - Jan.31, 1955    
Dec.7,1941 - Dec.31,1946
Apr.6,1917 - Nov.11, 1918

Branch Of Service:

US Army US Navy USAF US Marines US Coast Guard

You must complete all appropriate entries

I am enclosing a copy of my DD-214 - (to be returned).

I certify and acknowledge that the above information is true.

Signed: ____________________________, Dated: ______________