Anne Arundel County Detachment 1049

 

Anne Arundel County Detachment 1049
MARINE CORPS LEAGUE
APPLICATION FOR REGULAR MEMBERSHIP
(Please print all entries clearly)
Type of Application - New [__] Renewal [__] Member #: ______________
Name:  
Address:  
City:  
State/Province:  
Zip/Postal Code:  
Your Phone:  
Your E-mail:  
Date of Birth:  
Date of Enlistment or Commissioning:  
Date of Discharge, Separation or Retirement:  
Service #:  

I enclose $30.00 for one year's membership. All memberships include 1-year subscription to: MARINE CORPS LEAGUE MAGAZINE "Semper Fi"

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, send this form to:
Anne Arundel County Detachment 1049
Marine Corps League
Post Office Box 804
Severn, Maryland 21144-0804

 

 


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