An Association of persons awarded the Medal of Honor, the Distinguished Service Cross, the Navy Cross, or the Air Force Cross for 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.
• A check for $25.00 (includes annual membership of $20.00 and a processing fee of $5.00) or $155.00 ($5.00 processing fee + $150.00 life membership fee.)

SEND TO: Philip J. Conran, National Adjutant, 4706 Calle Reina
Santa Barbara, CA 93110-2018

CONTACT INFORMATION

Name


Address

City

State
Select a State Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virgina Vermont Washington Wisconsin West Virgina Wyoming District of Columbia
Zip Code

Phone

E-Mail

Employer

Position

Nature of Business

Business Address

Business Phone Number

Date of Birth

Place of Birth

Spouse's Name

Name of Nearest Relative

Address of Nearest Relative

Application Recommended By

Service Branch

Service Serial Number

Highest Rank Held

Present Connection (if any)

I Am A Legal Holder Of
Select Medal Awarded Congressional Medal of Honor Distinguished Service Cross Navy/Marine Cross Air Force Cross

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.)

Comments