DAV Auxiliary Membership Application

Annual membership is offered on a fiscal year basis, July 1 through June 30. Dues must be paid each year to continue this type of membership.

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Life membership is encouraged for persons who want to be permanent members of the DAV Auxiliary. The life membership fee includes all dues, fees and assessments for the memberís lifetime. Life membership may be obtained with a $20 minimum down payment and the balance to be paid within three full membership years. Fees are based on the memberís age as follows:

Age 80 and over ....... Free
Age 71 - 79 ........... $140
Age 61 - 70 ........... $180
Age 46 - 60 ........... $200
Age 31 - 45 ........... $230
Age 18 - 30 ........... $250


_____________________________________________________________________________
Last Name                          First Name                  Middle Initial

_____________________________________________________________________________
Street Address

_____________________________________________________________________________
City                               State                       Zip

_____________________________________________________________________________
Name of Related Disabled Veteran

_____________________________________________________________________________
Your Relationship to Veteran

_____________________________________________________________________________
Veteranís Service Dates, VA Claim Number, and DAV Membership Number, If Known

_____________________________________________________________________________
Your Date of Birth

_____________________________________________________________________________
Your E-mail Address

Amount Paid $________

____ New life membership                     ____ New Annual Membership 
(Minimum $20.00 down payment)        Year:  July 1, 20____ to June 30, 20____

_____________________________________________________________________________
Auxiliary Unit Preference If Known                Location of Unit

____________________________________________      ___________________________
Sponsorís Name and Code Number If Applicable      Telephone Number

_____________________________________________________      __________________
Applicant Signature                                        Date


Mail your membership application to:

  Joyce Hutchinson, Adjutant
  DAV Department of Ohio Auxiliary
  7134 Highland Trail East
  Hillsboro, OH  45133