WMA Onboarding

SLD

Membership Term

Life Membership Dues

Membership Level

Please select your desired Membership Level

Term Member - $40Life Member

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

Member Information

First Name

Middle Name

Last Name

Date of Birth

mm/dd/yyy

Phone (Including Country Code)

+1 (555) 555-5555

Address Line 1

Address Line 2

City

State / Province

Postal Code

Country

Emergency Contact

Would you like to include an Emergency Contact?

YesNo

Relation

Name

Phone (Including Country Code)

+1 (555) 555-5555

Street Address 1

Street Address 2

City

State / Province

Zip / Postal Code

Country

Military Information

Service Name(s)

If different than above e.g. Doe, Smith

Service Start Date

mm/dd/yyyy

Service End Date

mm/dd/yyyy

Platoon / Series / OCS

12A, 4173

MOS

Military Service Records

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.

Are you a FMF Navy service member?

Yes

Chapter Affiliation

Primary Chapter

Other

Recruited by / How did you hear about WMA?

If you were recruited by a WMA member, please list their name

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.

I agree