Vittori-Rocci Post # 56
(978) 927-2103 or VittoriRocciPost@Hotmail.com
FULL Membership Application

Name (Print): ______________________ Resident Address: _____________________________

City: _________________ State: ____ Zip: _____ Tel No: ____________ Date of Birth: _______

Occupation: _______________________ Spouse’s First Name: _________

- - - - - Military Service - - - - -

Branch of Service: _____________________________ Honorable Discharge (Yes or No) ______

Serial Number: ______________ Active Duty Date:____________ Release Date: _____________

DD214 or equivalent separation form must accompany this application

I hereby apply for membership in Vittori-Rocci Post #56. I understand that if accepted, I will enjoy the privileges offed by Post #56.

Applicant Signature: ___________________________________ Date:______________________

- - - - - Sponsor Information - - - - -

Sponsor Name (Print): ____________________________________ Key card: _________

I am a Vittori-Rocci Post 56 member in good standing and I am fully aware of my responsibilities to the Post as the sponsor for this applicant.

Sponsor Signature: _______________________________________ Date: ___________________

Please attach a copy of your DD214 and a check in the amount of $30.00 payable to Post 56 and mail with this application to: Dues Officer, C/O Post 56, 143 Brimbal Ave., Beverly, MA 01915

- - - - - For Committee use only - - - - -

Received by:: ______________________ Rec'd date: __________________ Check # ______

Approved/Disapproved : ________ Remarks:_______________________________________

# assigned: _____ Card # assigned: _____Date issued: ____________Rev 02/14