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FIRST STATE DETACHMENT
MARINE CORPS LEAGUE


Membership Application

Print This Out and Mail to:
First State Detachment, Inc.
P.O. Box 434
Ocean View DE, 19970

Name:_________________________________________________________ Date:_______

Street:_________________________________________________________#___________

City:__________________________________________State:_________ Zip+4:__________

Date of Birth:______/______/______ Date of Enlistment/Commissioning:__________________

Date of Discharge/Separation/Retirement:__________ Service #:___________________________

Type of Application: New (__) Renewal (__) Transfer (__) Associate Member (__)

Phone:(________)________________________ | Email: _________________@__________________

Please send application along with copy of DD-214 (Discharge Papers)

(___) I hereby apply for membership in the FIRST STATE Detachment, Marine Corps League and enclose $30.00 (Thirty Dollars) for one year's membership.*
  *Includes $2.00 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.

________________________________________________________(Sponsor)

________________________________________________________(Applicant)


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