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Name (Print): _______________________ Resident Address: ______________________ City: _________________ State: ____ Zip: ___________ Tel No: ___________________ Occupation: _____________________________________ Date of Birth: ______________ |
| I hereby apply for a VIRO Courtesy Card from the Vittori-Rocci ITAM War Veterans Post #56. I understand that if accepted, I will enjoy the social amenities in the lounge offered by Post 56, but, I will have neither voice nor eligibility to attend any regularly scheduled or specially called meetings of Post 56. I understand that the Courtesy Card is restricted in scope and use in accordance with the Rules and Regulations as set down by the Board of Trustees. This card is non-transferable and the Board of Trustees reserves the right to suspend, rescind or revoke the card without cause. I further understand that as a Non-Veteran, I cannot vote for any Post 56 issues or elections or hold any office in Post 56. I hereby also certify that I am age 21 or older. |
Applicant Signature: ___________________________________ Date: ________________________ - - - Sponsor Information - - - Recommended by (Print): ______________________________ Key Card #: __________________ I'm a member in good standing and fully aware of my responsibilities to the Post as the sponsor for this applicant. Sponsor Signature: ___________________________________ Date: ________________________ |
Please include a check in the amount of $10.00 payable to Post 56 ITAM with this application and Please HAND DELIVER to any bartender at Post 56, 143 Brimbal Ave., Beverly, MA 01915 |
--------------------------------- FOR TRUSTEES USE ONLY -----------------------------------
Received by:: ________________________________ Rec'd date: __________________ Check # _______ Approved/Disapproved: _____________ Card # assigned: ___________ Date issued: ________________ Remarks:_______________________________________________________________________Rev 03/09 |