Membership Form

MARINE CORPS LEAGUE

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MEMBERSHIP FORM

This form is to join as a member at large or MAL renewal.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Street Address *

Street Address Line 2 *

City *

State/Province *

Postal/Zip Code *

Date of Birth: M/DD/YY *

Service or S. S. No. *

Date of Enlistment/ Commissioning *

Date of Discharge/ Retirement/ Separation *

Type of Application *

New Renewal

Membership Type *

Regular Associate Dual

Have you ever been convicted of a felony? *

Yes - If yes is checked, I agree to waive my rights under the Privacy Act and disclose the nature of the felony conviction for consideration of membership in the Marine Corps League. No

I hereby apply for membership in the Marine Corps League as a Member-at-Large (MAL) and enclose $30 for one year's membership. *

Yes No

I hereby certify that I am currently serving or have served honorably in the United States Marine Corps, "ON ACTIVE DUTY," for not less than ninety (90) days and earned the Eagle, Globe and Anchor;* or have served or am currently serving in the United States Marine Corps Reserve and have earned no less than ninety (90) Reserve Retirement Credit Points; or that I have served or am currently serving as a U.S. Navy Corpsmen who has trained with Marine FMF Units in excess of ninety (90) days and earned the Marine Corps Device (clasp) or the Warfare Device worn on the Service Ribbon, authorized for FMF Corpsmen; or have served or are currently serving as a U. S. Navy Chaplain and have earned the FMF Badge serving with Marines; If discharged, I am in receipt of a DD Form 214 or a Certificate of Discharge indicating "Honorable Service". ("Honorable Service" will be defined by the last DD Form 214 or Certificate of Discharge that the applicant received). General Discharge under Honorable Conditions is acceptable. By signature on this application, I hereby agree to provide proof of honorable service/discharge upon request. I understand the DD Form 214 may contain information such as military awards, training, and character of service.

I agree to terms & conditions *

agree

Name of Applicant *

First

Last

By typing your name, name of applicant, you are digitally signing the document.

Upload File *

Max file size: 20MB

OATH OF MEMBERSHIP
"I, (Your Name), In the Presence of Almighty God, do solemnly swear, that I will uphold and defend the Constitution and Laws of the United States of America and the Bylaws and Administrative Procedures of the Marine Corps League. That I take this obligation willingly and in good faith and that I will follow the directions and guidance of elected and appointed officers of the League. That I will participate and support the missions and activities of the Marine Corps League, and that I promise to govern my conduct in such a manner that I will never bring discredit upon myself, Members of the League, or the Marine Corps League, so help me God.

Name of Applicant *

First

Last

By typing your name, name of applicant, you are digitally signing the document.

Name of Applicant *

First

Last

By typing your name, name of applicant, you are digitally signing the document.

Please print and complete this form. Upon completion, please send this form with check, money order or credit card information in the amount of $30, as well as all necessary documentation from the bottom of this form to your desired Detachment Paymaster. If you are applying as a Member-At-Large be send all information to the address below:

For Credit Cards Payment - Charge my Membership to: *

MasterCard Visa American Express Discover

Account Number *

Expiration Date *

Security Code (3 digit number on the back of the credit card) *

Name of Cardholder *

First

Last

By typing your name, name of applicant, you are digitally signing the document.

Upload File *

Max file size: 20MB

NOTE: If you are applying for "Regular Membership", please also include a photo copy of your last DD-214.
© 2019 Marine Corps League, Inc. Official Marine Corps League use only. All other use is prohibited

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File Type:	pdf

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