VFW WV Post 8516 - Elkview

VFW Membership Mail-In Application

[ ] Yes! I want to join VFW Post # 8516 in Elkview, WV and continue serving my country, my community and my fellow man.

PLEASE ENTER YOUR PERSONAL INFORMATION

Name: Last____________________________ First___________________________ M.I._________________

Address: Street_____________________________________ City____________________ State______________________ Zip__________

E-mail: ________________________________________ Phone: ___________________________________________________

Birthdate:__________________________ Social Security # ___________________________________

HOME OF RECORD (ACTIVE DUTY ONLY)

[ ] Same as above

Address:

___________________________________________________________________________________________________________

Street City State Zip

SERVICE INFORMATION

Branch of Service: [ ]ARMY [ ] MARINE CORPS [ ] NAVY [ ]AIR FORCE [ ] COAST GUARD

Eligibility (choose one)

[ ] WW II [ ] Afghanistan [ ] Combat Action Ribbon [ ] SSBN

[ ] Korean War [ ] Iraq [ ] Expeditionary Medal [ ] Imminent Danger/Hostile Fire Pay

[ ] Vietnam [ ] Korean Service (7/1/49 to present) [ ] Occupation Medal

[ ] Persian Gulf War [ ] Kosovo [ ] Other _________________________________________________

Overseas from: __________________ to _____________ Service Location___________________________________________

mm/dd/yyyy mm/dd/yyyy

Name of Campaign Ribbon or Medal __________________________________________________________________

MEMBERSHIP TYPE (choose one)

[ ] Annual $25.00 [ ] Life (one-time fee) [ ] (12 month payment plan [ ] Life (24 month payment plan

Payment Plan Terms and Conditions

VFW Life Membership installment plan allows any VFW

member/applicant to purchase a Life Membership by making

either 11 or 23 monthly installments. Initial payment of $35

is required. The member will be issued a “Provisional Life”

membership card and can elect, upon receipt of first monthly

invoice, to pay via check, credit card or ACH Debit. The

monthly fee (shown in the payment schedule) includes a

$1.75 monthly service fee. The applicable Life Membership

fee is to be determined from the schedule using the

applicant’s age on Dec. 31 of the installment plan year in

which this Agreement Form is submitted, regardless of

actual date of birth. A permanent Life Membership card will

be issued upon completion of this agreement. No refund of

any portion of current year annual dues will be made.

Life Membership Fee Schedule

One Time 12 Month 24 month

Age Payment Payment Plan Payment Plan

Through Age 30 $425 $40.39 $20.23

31-40 $410 $39.02 $19.58

41-50 $375 $35.84 $18.05

51-60 $335 $32.20 $16.32

61-70 $290 $28.11 $14.36

71-80 $225 $22.20 $11.53

81 and over $170 $17.20 $ 9.14

PAYMENT INFORMATION

[ ] Check/Money Order [ ] Master Card [ ] Visa [ ] Discover [ ] American Express

Card Number: ___________________________________

Expiration Date: __________________________________

Card Holders Name:_______________________________

*Amount enclosed or to be charged: $_________________

*If using Life Membership Payment Plan, an initial payment of $35.00 is required.

VERIFICATION & SIGNATURE

ATTESTATION OF ELIGIBILITY Yes! I attest by forwarding this application that I am a citizen of the United States of America and I have

checked the membership eligibility requirements for the Veterans of Foreign Wars of the United States and find that I am eligible for

membership in the VFW and that I have never been discharged under other than honorable conditions or I am still serving honorably in the

armed forces of the United States of America. I further give authority to the Veterans of Foreign Wars of the United States to verify my

entitlement to membership.

Signature of Applicant:_____________________________________________________ Date:______________________________

Mail completed application with payment to Veterans of Foreign Wars-Post # 8516,  221 Melton Addition, Elkview, West Virginia 25071, C/O Post Quartermaster Charles Campbell.