Application

Chartered by Congress in 1958, The Military Order of the Purple Heart is composed of military men and women who received the Purple Heart Medal for wounds suffered in combat. Although our membership is restricted to the combat wounded, we support all veterans and their families with a myriad of nationwide programs by Chapters and National Service Officers.

Guest Book

Please sign our Guest Book


	Department of Minnesota Military Order of The Purple Heart


	The Purple Heart is the only decoration that attests--without question--to the bearer having been in combat and one that an individual can not be recommended for...


	Name


	Application for Membership


	Chapter


	Member


	Address


	Phone


	Email


	Service


	War Wounded

Army

Navy


	WWII


	Air Force

Marines


	Coast Guard

Korea

Vietnam

OIF/OEF


	Other_


	Military Unit


	Date of Birth________________


	Date Entered Service_


	Date Departed Discharged


	Serial Number


	Date Wounded_


	Engagement


	VA Claim


	Applicant’s Signature:___________________________________


	Social Security_


	Next of Kin


	Relationship


	Applicant Signed Up By:


	Date

MOPH Bylaws require that a copy of the document that supports the award of the Purple Heart medal must accompany each application. One of the following documents must be submitted with the Membership Application. If discharged, a discharge document such as a DD214 must be provided reflecting character of service as honorable or under honorable conditions. A copy of documentation submitted will be retained on file. Please check one:


	DD214


	DD215

WD AGO 53-55


	General Orders

Letter of Transmittal

Life Membershipo may be paid in full ($50) or in installments of $25 by check, money order or credit card


	Amount of payment


	Visa

Mastercard

Discover


	Credit Card Number


	Amex


	Card Security Code


	Expiration Date


	Signature required_________________________________________________


	Send Application to: Military Order of The Purple Heart 134 Veteran Service Building 20 West 12th Street St. Paul, MN 55155

Proud to be a Member