SONS OF THE AMERICAN LEGION

[Company Logo Image]

Sons of The American Legion

Detachment of Connecticut

SONS OF THE AMERICAN LEGION

DEPARTMENT OF CONNECTICUT

MEMBERSHIP TRANSMITTAL NUMBER: _______

DATE: ___________ SQUADRON NUMBER: ______

TO: THE AMERICAN LEGION

OFFICE OF THE ADJUTANT

P.O. BOX 208

ROCKY HILL, CT 06067-0208

ATTACHED HEREWITH IS OUR REMITTANCE IN THE AMOUNT OF $_________ IN PAYMENT

OF THE FOLLOWING:

CURRENT YEAR (2009) MEMBERSHIP

2010 current renewals	@ $10 each	$
2010 NEW	@ $10 each	$
TRANSFER–CARD AND DUES ENCLOSED	@ $10 each	$

PREVIOUS YEAR (2009) MEMBERSHIP

	2009 CURRENT RENEWALS	@ $5 each	$
	2009 NEW	@ $5 each	$

DELINQUENT MEMBERSHIP

ADJUSTMENTS TO REMITTANCE

$	ADDED TO COVER PRIOR SHORTAGE	$
$	REDUCTION REFLECTING CREDIT DUE POST	$
ADJUSTED TOTALS		$

SQUADRON RECORDS INDICATE THAT:

#	PAID FOR THE CURRENT YEAR 2009

SIGNATURE______________________________________

NAME___________________________________________

ADDRESS________________________________________

CITY / TOWN_____________________________________

(PLEASE PRINT )