Membership Application

APPLY FOR MEMBERSHIP INTO THE

MILITARY ORDER OF THE PURPLE HEART

To apply for membership into the Military Order of the Purple Heart please comply with the

following requirements:

1. Complete the application below.

2. Along with the application you must provide evidence of the award of the Purple Heart.

3. Be advised that a certificate alone does not constitute proof of the award.

4. If discharged, a discharge document such as DD-214 must be provided reflecting

character of service as honorable or under honorable conditions. The following

documents may be submitted as proof of receipt of the Award:

• DD214

• DD215

• WD AGO 53-55

• Copy of your orders or a

• Letter of Transmittal

5. If on active duty a copy of your orders or a letter of transmittal is sufficient.

6. The Lifetime Membership fee is $50. Payment options are noted on the form below. Do

not send cash!

7. You may submit this application on line directly to MOPH National HQS by following

this link www.purpleheart.org . If also submitting a request for Connecticut Purple Heart

License Plates complete and print the membership form below and mail all required

documentation along with your license plate application to the following address:

 

Please note that the license plate application will be held until approval of the

membership application.

 This request to:

Liason Person:

 Daniel M. Eddinger

State Commander

Military Order of the Purple Heart

63 Pine Ridge Road

Torrington,CT 06790

Phone: 860-387-7962

Link to membership application.