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| MARINE CORPS LEAGUE – DOWN EAST DETACHMENT
APPLICATION FOR REGULAR MEMBERSHIP (Please print all entries clearly) Date of Application:___/___/___ Name: ___________________________________ Address: ___________________________________________________________ City: ____________________________ State: ________________ Zip:_________ 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 Down East NC Detachment, Marine Corps League and I am enclosing $30.00 for one year's membership dues. Membership includes 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] *Please include a COPY of your DD214 equivalent and required dues payment of $30.00 made payable to Marine Corps League. All applications and documents should be mailed to: Down East Detachment, Marine Corps League 200-A Eastbrook Drive Greenville, NC 27858 252.355.9052 |
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