WMA Onboarding

SLD

Membership Term

Life Membership Dues

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

WMA Onboarding

Membership Level

Member Information

Emergency Contact

Military Information

Chapter Affiliation

Other