Membership Level

Life Member dues are determined by your age at the time of application

Member Information


+1 (555) 555-5555

Emergency Contact

+1 (555) 555-5555

Military Information

If different than above e.g. Doe, Smith



12A, 4173

DD-214, Discharge Papers, etc.

Chapter Affiliation


By submitting this form, I verify all information contained within is correct and that I am eligible to apply having served or honorably serving in the United States Marine Corps or as Navy FMF qualified. I will abide by the WMA Bylaws and Standing Rules.