Application for Membership

ITALIAN AMERICAN WAR VETERANS, POST No. 34, Cleveland, Ohio
MEMBERSHIP APPLICATION

DATE ________________

I, _____________________________________________________, apply for membership


In ITALIAN AMERICAN WAR VETERANS, POST No. 34, CLEVELAND, OHIO

Res. Address____________________________________________

Res. Phone ________________


City____________________________________

State _________

Zip ______________________

Age____________

Married____ Single____ Occupation ____________________________

Branch of service from which honorably discharged: ________________________________

Serial No. _______________ Wounded? _____

Vet.Adm.Claim No.__________________

Date of Enlistment: __________________

Place of Enlistment: ______________________

Date of Discharge: ___________________

Place of Discharge: ______________________

War Service: _____________________________________________________________________

Sponsored by: ____________________________

Approved by: ______________________________

Date of acceptance: ____________

Applicant Signature: ___________________________

Print this form and upon completion mail to:

Gene Rorak, 5867 Queens Hwy., Parma Hts., OH 44130