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

Please upload Military Service Record such as DD214 or screenshot of the first page of BIR. If you served pre-1960s, you can upload a discharge summary. If active duty, you can request letter on command stationary or provide a copy of their Marine Corps ID.

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.