Detachment 007

Marine Corps League Membership Application

Please Print Legibly

I hereby apply for membership in the Marine Corps League Tucson, AZ Detachment 007

Name: ___________________________________

Address: __________________________________________________

___________________________________________________

City: ________________ St: ______ Zip _______________________

Phone:______-______-___________ Cell: ______-______-_________

Email: ___________________________________________________

Married: Y N (circle one)

Next of kin: _______________________________________________

Date of birth: _____/______/________ (mo/day/yr)

Date of enlistment/commissioning: ______/_______/_______ (mo/day/yr)

Service Number/SSN: ___________________________________

Sponsor: ______________________________________________

Type of Application: ( ) Renewal ( ) Regular ( ) Associate ( ) Life Member

I hereby certify that I am currently serving or have served honorably in the U.S. Marine Corps, on active duty, for not less than ninety (90) days * or have served or am currently serving in the U.S. 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 Corpsman who has trained with Marine FMF Units in excess of ninety (90) days and earned the Marine Corps Device or Warfare Device worn on the Service Ribbon authorized for FMF Corpsmen. If discharged, I am receipt of an honorable discharge or DD214. By signing below, I hereby agree to provide proof of honorable service/discharge upon request. (* Korean War Era Marines See National Bylaws, Article 6, Section 600)

Signature: __________________________________________________

Date: _______/_______/_______ (mo/day/yr)

Please attach a copy of your DD-214 with your application.

Print, complete and Mail this application with a check for $35.00 payable to: MCL Det 007

Address: 216 E. 29th St

P.O. Box 27909

Tucson, AZ 85726-7909