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Interest Form

 ‚Full Name:

Address:

City:

County: 

State: AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

Zip:

Home Phone:

Cell Phone:

 Email:

Have you ever been an American Legion Auxiliary (ALA) Member?

   Yes
   No

If NO:
Are you eligible to JOIN the ALA?

    Yes 
    No

Are you interested in JOINING the ALA?

   Yes 
   No  

I am interested in learning more about and/or participating in: (Select each box that applies) 

ΠΠVolunteering for Veterans, active duty military, and their families (through local unit activities)
ΠYouth Programs & Activities* (American Legion Auxiliary Girls State, Junior Member Program, Scholarships)
  Member Discounts & Services

   Other 

 *Participation in some activities may only be available to ALA members.

 Is it alright to send you a text message?

       Yes