Auxiliary Application

Application to Join the American Legion Auxiliary Unit 72

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of Birth *

Gender *

Female Male Prefer not to answer

Email *

Phone Number *

Legion Membership Number Eligible Under (If Applicable) *

State & Post Number *

Name of Member who you are eligible under *

Comment *

Upload File (Copy of DD-214 if unable to provide current member details of member you are eligable under) *

Max file size: 20MB

Submit