Address_______________________________________

 

______________________________________________

 

Phone___________________

 

Branch of Service______________________

 

Years__________________

 

Military Occupation_____________________

 

Combat Veteran? (Not Required for membersahip)

___________________

 

Where?_________________________

 

Level Applied For* ________________

(Please refer to "Becoming a Member" section of website.)

 

If applying for Auxiliary, Which member of immediate family is a vet?

____________________________________________________

(Spouse,Children,Sibling, Mother,Father, Grandparents are acceptable.)

 

Honorably Discharged?__________________

 

Decorations_____________________________________________

 

______________________________________________________

 

Would you be interested in an officer position within the fraternity*______________________________________________________

(To be voted on each April. List is available on website.)

 

Highest Rank acheived in service?_____________________

 

Are you applying for Annual or Lifetime?**______________

(**Annual is $20.00 Initiation fee and $10.00 Yearly dues. Lifetime Membership is a one-time fee of $100.00)

 

Do you belong to any other military fraternity such as VFW or American Legion? (HIGHLY ENCOURAGED)?_________________________

If so, which ones, where, and for how long?__________________________________

 

Any other comments or suggestions to help improve this fraternity?_________________________________________________________

_________________________________________________________

_________________________________________________________

 

How did you hear about us? _______________________

 

Sponsor name______________________________

(Must be a member in "good standings" I.E. Dues paid in full, etc.)

 

Upon signing, you agree to all terms and conditions.

 

Printed Name______________________________

 

Signature__________________________________

 

Date Applied___________________

 

----Fraternity office use only----

 

***Date voted on__________

 

***Officer name____________________

 

Approved / Disapproved (Circle one)