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DEPARTMENT YEARBOOK

 

 

CERTIFICATION FORM

NATIONAL ONE-YEAR DEPARTMENT YEARBOOK CONTEST

INSTRUCTIONS: COMPLETE THIS FORM AND ATTACH SECURELY TO THE ENTRY SUBMITTED WITH A "SPRING TYPE"

BINDER CLIP. DO NOT PASTE IN ENTRY. PLEASE DO NOT USE PO BOX FOR ADDRESS.

THIS IS A ONE-YEAR: DEPARTMENT YEARBOOK

THIS ENTRY HAS ____________ VOLUME (S) FOR THE CONTEST AS INDICATED ABOVE.

NAME OF DEPARTMENT: _______________________________________________________________________

NAME OF DEPARTMENT HISTORIAN: ____________________________________________________________

NAME OF COMPILER IF DIFFERENT FROM HISTORIAN: ______________________________________________

STREET ADDRESS: _________________________________________________________________________________

__________________________________________________________________________ TEL: __________________

DEPARTMENT CERTIFICATION

THE DEPARTMENT OF ________________________ CERTIFIES THAT THIS YEARBOOK IS AN ENTRY FOR THE CONTEST BEING CONDUCTED BY THE NATIONAL HISTORIAN THIS YEAR AT NATIONAL HEADQUARTERS.

DEPARTMENT ADJUTANT: __________________________________ DATE CERTIFIED: ____________________

NO YEARBOOK WILL BE CONSIDERED BY THE CONTEST JUDGES UNLESS THE ENTRY IS ACCOMPANIED BY THIS NATIONAL CONTEST CERTIFICATION FORM AND COMPLETED. A BOOK ENTERED IN THE WRONG CATEGORY WILL BE DISQUALIFIED. DEADLINE FOR ENTRY AT NATIONAL IS SEPTEMBER 15.

NATIONAL HISTORIAN

NATIONAL HEADQUARTERS

THE AMERICAN LEGION

700 PENNSYLVANIA STREET

INDIANAPOLIS, INDIANA 46204

ENTRY NUMBER: DY-_________________

TELEPHONE: 317 630-1354/FAX: 317 630-1241/email: library@legion.org (NATIONAL HISTORIAN USE ONLY)

Revised 10-08-2013 yellow