Iowa Chapter 7, Post 663
                            6805 Douglas 
                        Urbandale, IA  50322
                           (515) 278-8940


                      Legion Riders Questionnaire



NAME: ______________________________  DATE: ________________


1) Are you married, divorced, single? ______________________________

2) Do you have any children? ____________________________________

3) What branch of the service? ___________________________________

4) How long did you serve? _____________________________________

5) What is your occupation? _____________________________________

6) What are your hobbies? ______________________________________

7) Original Birthplace __________________________________________

8) Why do you want to be a Legion Rider? _________________________

__________________________________________________________

__________________________________________________________



                  Please return to the Membership Chair:
                     American Legion Riders Post 663
                      Lucy Yates, Membership Chair
                           9609 Butler Trail
                           Norwalk, IA  50211