Marine Corps League
Application for Membership
Name: ______________________________________________________________________
Street: ______________________________________________________________________
______________________________________________________________________
City: __________________________________ State: _____ Zip: ______________________
Phone: ____-____-______ Date of Birth: ___/___/______ SSN: _______-_____-__________
Type of Application: New ( ) Renewal ( ) Please check either New or Renewal.
Associate ( ) Regular ( ) Please check either Associate or Regular
Date of Enlistment/Commissioning: ___/___/______ Date of Discharge/Separation/Retirement: ___/___/______
I hereby apply for Membership in the Marine Corps League as a Member of the Jerry Wentworth Detachment #1101 and enclose $31.00 for one (1) year’s membership. (Includes free subscription to “Semper Fi – The Magazine of the Marine Corps League”)
I hereby certify that I am currently serving or have served honorably in the U.S. Marine Corps, on active duty for not less than ninety (90) days* or have served or am currently serving in the U.S. Marine Corps Reserve and have earned no less than ninety (90) Reserve Retirement Credit Points or that I have served or am currently serving as a U.S. Navy Corpsman who has trained with Marine FMF units in excess of ninety (90) days and earned the Marine Corps Device or Warfare Device worn on the Service Ribbon authorized for FMF Corpsmen. If discharged, I am in receipt of an honorable discharge or DD-214. By signature on this application, I hereby agree to provide proof of honorable service/discharge upon request. General Discharge under Honorable Conditions is acceptable. (*Korean War Era Marines See National Bylaws Article 6, Section 600). Further, I hereby authorize Marine Corps League National Headquarters to request a copy of my DD-214 from the National Personnel Records Center if deemed necessary.
I, ______________________, in the presence of Almighty God and the members of the Marine Corps League here assembled, do solemnly swear or affirm that I will uphold and defend the Constitution and Laws of the United States of America and of the Marine Corps League. I will never knowingly deceive or defraud the League to the value of anything. I will never knowingly wrong or injure or permit any member of any member’s family to be wronged or injured if to prevent the same is within my power. I will never propose for membership one known to me to be unqualified or unworthy to become a member of the League. I further promise to govern my conduct in the League’s affairs and in my personal life in a manner becoming a decent and honorable person and I will never knowingly discredit the League, so help me, God.
____________________________________ _______________________________________
Sponsor (Where Applicable) Applicant’s Signature
Copyright 2007 Marine Corps League, Inc. For Official Use Only. All other use is prohibited. PRINT THEN MAIL COMPLETED APPLICATION ALONG WITH A COPY OF YOUR DD214 AND $33.00 TO:

JERRY WENTWORTH DETACHMENT #1101
MARINE CORPS LEAGUE
1047 AYCOCK ROAD
MERIDIAN MS 39301
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