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FIRST STATE
DETACHMENT MARINE CORPS LEAGUE Membership Application |
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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 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) |
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