DIRECT BILLING FROM NATIONAL - The American Legion ...



District Number ______ Unit # ________

2017 UNIT DATA FORM DUE APRIL 30, 2016

This information is required for the printing of the 2017 Membership cards for your Unit.

KEEP IN MIND THE MEMBERSHIP PER CAPITA TO DEPARTMENT IS $15.00

The dues amount you list will be printed on the 2017 Membership Renewal Notices that will be mailed to members of your Unit approximately September 15, 2016. HOWEVER, FOR THOSE MEMBERS IN THE UNIT THAT NATIONAL HAS AN E-MAIL THE RENEWAL NOTICE WILL BE SENT TO THEM VIA E-MAIL! Watch for it.

The name and address you list will be printed on each Renewal Notice to show where your members are to send their 2017 dues. The member MUST have her current dues paid before you list her.

THIS FORM MUST BE RETURNED TO DEPARTMENT BY APRIL 30, 2016

If you do not send this form in on time, your Unit’s renewal notices will be incorrect. You MUST complete this form EVEN IF THERE ARE NO CHANGES since last year.

FULL NAME OF UNIT ________________________________________________________

Address of Post/Unit (Physical location, not mailing address):

Street Address City State ZIP

2017 Senior Dues of this Unit are $____________ annually per Senior member

2017 Junior Dues of this Unit are $____________ annually per Junior member

Name of person to receive our Unit dues:

________________________________________ Membership ID #:______________________

Mailing address:

______________________________________________________________________________

Street Address P.O. Box #

______________________________________________________________________________

City State ZIP

Phone (_______) __________________________

_____________ _______________________________________ ______________________

Date Signature Title

It is very important to return by April 30, 2016 to:

American Legion Auxiliary Dept of Michigan

212 N. Verlinden Ave., Suite B -- Lansing, MI 48915

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