Pennsylvania AMVETS Membership Application

---

Yes, I Want to join PENNSYLVANIA AMVETS!   I certify that I meet the membership requirements - I have served or am currently serving on active duty in the U.S. Armed Forces, National Guard, or Reserves.
Name:	__________________________________________
Address:	__________________________________________
	__________________________________________
City:	__________________________________________
State:	_________________
ZIP:	_________________
Gender:	___ Male    ____ Female
Home Telephone:	_________________
Date of Birth:	_________________
Branch of Service:	_________________
Date Entered Service:	_________________
Date of Discharge:	_________________
Type of Discharge:	_________________
Payment Method:	___ Check ___ Money Order
Signature:	__________________________________________
Date:	_________________
Print this form and mail, along with payment of $20.00 and a copy of your DD-214 or current active or reserve military ID, card to: AMVETS DEPARTMENT OF PENNSYLVANIA BUILDING 3-97, FT. INDIANTOWN GAP ANNVILLE, PA 17003-5002