Application for Membership in the Jewish War Veterans of the United States of America

Please complete this application then mail with your Membership Dues check payable to JWV Post 126 or your credit card information to the address below.    

Name (Last): _______________________________   (First):__________________________   (Middle Initial): ______
Home Address: _________________________________________________________________________________ 
City: __________________________________________________    State:__________     Zip:__________________
Home Phone #: __________________________________       Cell Phone # : ___________________________

Email Address:________________________________________________________________________

I hereby apply for membership in the Jewish War Veterans of the United States of America. I certify that I am a citizen of the United States and of Jewish faith, that my service in the Armed Forces was honorable, that I have never  been discharged from military service under dishonorable conditions, and that I am not a member of any organization that believes in or advocates bigotry.

Signature of Applicant: ________________________________________________    Date: _____________________

Post Name:   FURER-BARAG-WOLF          Post No.:  126

Were you previously a member of JWV?  ___, If so    Post Number: ________   Post Name: _____________________

[  ] Visa   [  ] MasterCard   Card #: _______________________________   Exp Date: __________   $ Amt: _________

Dues Schedule:    [  ] New Member $35       [  ]  Life Membership  $200        [  ] In-Service  Free         [  ] Patron $35     

BACKGROUND / SERVICE  INFORMATION

Age: __________     Date of Birth: _________________     Place of Birth: ___________________________________ 
Occupation:  __________________________________      Marital Status: _____________         
Name of Nearest Relative: ________________________________________      Relationship: ___________________
Address: ______________________________________________________________________________________
Date of Enlistment: ___________    Date of Discharge: ____________       Allied Nation Military: _________________
Branch of Service (check one)   [  ] Army   [  ] Navy   [  ] Marines   [  ] Air Force   [  ] Coast Guard   [  ] Merchant Marine
Rank:  __________________     Serial Number: _______________________     VA Claim Number: ______________
Unit Designation (Company, Regiment, Division, Ship, Station, etc.) ________________________________________
Decorations or Medals:____________________________________________________________________________

POST CERTIFICATION

Sponsors:    1. _______________________________________      2. ______________________________________
Received by Quartermaster :  ________________________________    Date: __________________

In-Service ID Verification: Cmd: _____________________    Adjutant/Qtr:_ ___________________  Date: _________

MAKE CHECK PAYABLE TO:   JWV Post 126

RETURN TO:   JWV Post 126,  Attn: Membership,  PO Box 181,  Cherry Hill, NJ   08003