Membership Level


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

Member Information





mm/dd/yyy

+1 (555) 555-5555







Emergency Contact





+1 (555) 555-5555







Military Information


If different than above e.g. Doe, Smith

mm/dd/yyyy

mm/dd/yyyy

12A, 4173



DD-214, Discharge Papers, etc.

Chapter Affiliation


Other




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.