MARINE
CORPS LEAGUE
APPLICATION
FOR REGULAR MEMBERSHIP
(Please
print all entries clearly)
Type
of Application - New (__)
Renewal
(__) Member #: ____________
Date
of Application:___/___/___
Name:
___________________________________
Address:
__________________________________________
Apt
#:_____________
Address:
___________________________________________________________
City:
Your Phone:
____________________________________________
Your E-mail:
____________________________________________
Date
of Birth: ____ / ____ / ____ Age:___
Date
of Enlistment/Commissioning: ___ / ___ / ___
Date
of Discharge/Separation/Retirement: ____ / ____/ ____
Service
#: ______________________
(___)
I hereby apply for Membership in Silver City Detachment #45, Marine Corps
League
and I am enclosing $27.00 for one year's
membership dues.
(___)
I hereby apply for membership in the Marine Corps League as a Member-at-
Large
(MAL), and enclose $27.00 for one year's
membership.
All
memberships include 1-year subscription to MARINE CORPS LEAGUE
MAGAZINE
I
hereby certify that I have served as a U.S. Marine for more than 90 days, that
the
Character
of my service has been honorable, and if discharged, I am in receipt of an
Honorable discharge. By signature on this
application, I hereby agree to provide proof of
Honorable discharge/service upon request.
________________________________
Applicant's
Signature
________________________________
(Sponsor-where
applicable)
Upon
completion of application, turn in to your detachment sponsor with a copy of
your
DD214
Form or equivalent and required dues payment of $27.00 made payable to Marine
Corps League.
All
applications and documents should be mailed to:
Ron
Perry