The Department of France
Member Data Form
Member ID number (if known) _______________________________Post ________________
Name________________________________________________________________________
Address______________________________________________________________________
City, ST, ZIP Code/Postal Code and Country ________________________________________
_____________________________________________________________________________
E-mail Address ________________________________________________________________
Telephone number:Country Code (__________)Area Code (_______)_____________________
Have you renewed for the current Membership Year:
YES ___________ NO ___________
Please circle one of the following if you wish to receive e-mail newsletters, update letters, etc., to keep current on what is happening in The Department of France and National Headquarters of the American Legion.
YES NO
After filling out this Data Form please return by e-mail or ground mail it to the following:
Thank you for taking the time to fill out and return this Data Form & Survey.