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An Association of persons awarded the Medal of Honor, the Distinguished Service Cross, the Navy Cross, or the Air Force Cross for Valor

PLEASE SEND THE FOLLOWING TO THE LEGION OF VALOR
  • A copy of the general order which lists the award qualifying you for membership in the Legion of Valor.
  • A copy of the award citation.
  • An individual picture if you want one included in the Legion of Valor General Orders publication. The picture may be new or taken years ago, as long as it can be successfully scanned. It will be returned upon request.
  • There is no membership fee for medal recipients. There is a one time $100.00 fee for Associate Life Membership.
  • SEND TO: Philip J. Conran, National Adjutant, 4704 Calle Reina
    Santa Barbara, CA 93110-2018

 

CONTACT INFORMATION

Name


Address

City

State

Zip Code

Phone

E-Mail


EMPLOYMENT INFORMATION

Employer

Position

Nature of Business

Business Address

Business Phone Number


GENERAL INFORMATION


Date of Birth

Place of Birth

Spouse's Name

Name of Nearest Relative


Address of Nearest Relative

Application Recommended By


MILITARY INFORMATION

Service Branch

Service Serial Number

Highest Rank Held

Present Connection (if any)

I Am A Legal Holder Of

Or I am applying for associate membership

Name of Medal Recipient

Relationship to Recipient

Or Legion of Valor Silver Cross for Heroism Recipient


Summarize Military Service (Branch, Dates, Etc.)

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