Membership Form

MARINE CORPS LEAGUE

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MEMBERSHIP FORM

* 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 __________ Detachment, Marine Corps League and enclose $ ______ for one year's membership *

First Blank: Detachment Name *

Second Blank: $ Dollar Amount *

I hereby apply 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 hereby authorize the National Executive Director, Marine Corps League to obtain an un-redacted copy of my latest DD Form 214 from the Marine Corps custodian of Official Military Personnel Files (OMPF), and/or verification of honorable service if deemed necessary to verify my eligibility for regular membership in the Marine Corps League. I understand the DD Form 214 may contain information such as military awards, training, and character of service.
(*Korean War Era Marines See National Bylaws, Article 6, Section 600}

I agree to terms & conditions *

agree

Name of Sponsor (Where Applicable) *

First

Last

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

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 - REGULAR MEMBERS
I,___________, in the presence of Almighty God, and the members of the Marine Corps League here assembled, being fully aware of the symbols, motto, principles and purposes of the Marine Corps League, do solemnly swear or affirm that I will uphold and defend the Constitution and Laws of the United States of America and of the Marine Corps League. I will never knowingly wrong, deceive or defraud the League as to the value of anything. I will never knowingly wrong or injure or permit any member or any member's family to be wronged or injured if to prevent the same is within my power. I will never propose for membership, one known to me to be unqualified or unworthy to become a member of the League. I further promise to govern my conduct in the League's affairs and in my personal life in a manner becoming a decent honorable person and will never knowingly bring discredit to the League, so help me God.

Name of Applicant *

First

Last

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

OATH OF MEMBERSHIP - ASSOCIATE MEMBERS
I, ___________, in the presence of Almighty God, and the members of the Marine Corps League here assembled, being fully aware that as an Associate Member, I will not be permitted to hold an elective office or to vote on Marine Corps League policy, a membership application, or an election of officers, do solemnly swear or affirm that I will uphold and defend the Constitution and Laws of the United States of America and of the Marine Corps League. I will never knowingly wrong, deceive or defraud the League as to the value of anything. I will never knowingly wrong or injure or permit any member or any member's family to be wronged or injured if to prevent the same is within my power. I will never propose for membership, one known to me to be unqualified or unworthy to become a member of the League. I further promise to govern my conduct in the League's affairs and in my personal life in a manner becoming a decent honorable person and will never knowingly bring discredit to the League, so help me God.

Name of Sponsor (Where Applicable) *

First

Last

By typing your name, name of sponsor, 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 Applicant *

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, Certificate of Discharge. Active Duty or current Reserve ID Card.

© 2014 Marine Corps League, Inc. Official Marine Corps League use only. All other use is prohibited

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membership_application_2016.pdf
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File Type:	pdf

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