Membership Application - Marine Corps League Detachment 890

Name *

First

Last

Phone Number *

Street Address *

City *

State *

Zip *

Date of Birth *

Email Address *

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
NO

*** 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.

Certification of Application *

I, (ENTER YOUR NAME HERE), 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.

This section must be completed. In the box above, replace the text “ENTER YOUR NAME HERE” with your name in UPPERCASE LETTERS.

OATH OF MEMBERSHIP-REGULAR MEMBERS *

This section must be completed. In the box above, replace the text “ENTER YOUR NAME HERE” with your name in UPPERCASE LETTERS.

Electronic Signature *

By entering my name above and submitting this form, I hereby tender my application for membership in the LtGen Lewis B. Puller detachment of the Marine Corps League, located in Winchester, Virginia.