The cost of a life-long membership in the DAV is as follows and may be paid in interest-free installments over three years following a minimum $40.00 down payment:
Over Age 80 (FREE); Age 71 - 79 ($140); Age 61 - 70 ($180); Age 41 - 60 ($230); Age 40 and under ($250)
Print, Complete and Mail this membership application to:
(PRINTING: Internet Explorer: right-click in the right frame & click on Print from the shortcut menu.
Netscape: right-click in the right frame & click on Open Frame in New Window, then click on Print from the File menu.) Membership Dept., Disabled American Veterans, Department of New York, 200 Atlantic Avenue,Lynbrook, NY 11563 Please Use Standard Mail Only and Please Do Not E-Mail Your Application _____________________________________________________________ __________________________ Last Name First Name Middle Initial Spouse's First Name ________________________________________________________________________________________ Street Address City State Zip ____ Male ____ Female Birth Date: _______________ Social Security Number: _______________________ __________________________________________________________________________________________________ Date Enlisted Date Discharged Branch of Service Rank VA Claim # __________________________________________________________________________________________ Signature Telephone # Your E-Mail Address Amount Paid: ____ New life membership (Minimum $40.00 down) ____ Life payment Your chapter # and location (if known): ______________ I have a service-connected disability rated at ________% (0% - 100%) Did you receive a Purple Heart? ____ Yes ____ No Are you an Ex-P.O.W.? ____ Yes ____ No _________________________________________________________________________________________ Signature Date ___________________________________________________________________________________________ Sponsor's Name and Code Number If Applicale Telephone Number ____ My check is enclosed or ____ Charge my credit card: ____ Master Card ____VISA _______________________________________________________________________________ Card Number Expiration Date