Membership Application

Complete application here, press SUBMIT and mail your $25.00 check to:
Veterans of LBS - P.O. Box 202, Barrington, IL. 60010-0202

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone (home)

Email Address

Phone (mobile)

Name on Badge

Branch of Service

Date of Service (Active Duty)

Renewal Begins

MM

DD

YYYY

Renewal Expires

MM

DD

YYYY

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Wearing this is a health issue

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Download Membership Application, print, complete and mail with your $25.00 check to:
Veterans of LBS - P.O. Box 202, Barrington, IL. 60010-0202