Marine Corps League Application for Membership

Full Name: ________________________________________

Phone (_____)___________________________________

Street Address: ________________________________________________________  City: ____________________________________________________________________ State: ___________________________________________________________________ Zip: ___________________+ ______________

Date of Birth: _______/________/_____________

E- Mail: __________________________________________________________________

Service or SSN: ________________________________________________

Date of Enlistment/Commissioning: ___________________________

Date of Discharge/Retirement/Separation: ________________________

Type of Application- New (  ) Renewal ( )                                                          Membership Type—Regular  (  ) Associate (  ) Dual (  )

Have you ever been convicted of a felony? YES ( ) NO ( ) If yes is checked, I agree to waive my rights under the Privacy Act and disclose the nature of the felony conviction for consideration of membership in the Marine Corps League.

(  ) I hereby apply for membership in the Sgt Justin L. Noyes Detachment #1294 Marine Corps League  and enclose $ 41.00 for one 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 United States Marine Corps, “ON ACTIVE DUTY,” for not less than ninety (90) days and earned the Eagle, Globe and Anchor;* or have served or am currently serving in the United States 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 (clasp) or the Warfare Device worn on the Service Ribbon, authorized for FMF Corpsmen; or have served or are currently serving as a U. S. Navy Chaplain and have earned the FMF Badge serving with Marines; If discharged, I am in receipt of a DD Form 214 or a Certificate of Discharge indicating “Honorable Service”. (“Honorable Service” will be defined by the last DD Form 214 or Certificate of Discharge that the applicant received). General Discharge under Honorable Conditions is acceptable. By signature on this application, I hereby agree to provide proof of honorable service/discharge upon request. I hereby authorize the National Executive Director, Marine Corps League to obtain an un-redacted copy of my latest DD Form 214 from the Marine Corps custodian of Official Military Personnel Files (OMPF), and/or verification of honorable service if deemed necessary to verify my eligibility for regular membership in the Marine Corps League. I understand the DD Form 214 may contain information such as military awards, training, and character of service.

(*Korean War Era Marines See National Bylaws, Article 6, Section 600) 

(Sponsor where applicable) ___________________________________________

Applicant’s Signature__________________________________________________

© 2014 Marine Corps League, Inc. Official Marine Corps League use only. All other use is prohibited

Please print and complete this form. Upon completion, please send this form with check or money order in the amount of $41 to the address below: 

MAILTO:                                                                                                                                   Sgt JL Noyes Det 1294, MCL                                                                                      400 W 9th St #721                                                                                                          Claremore, OK 74018-0721

NOTE: If you are applying for “Regular Membership”, please also include a photo copy of your last DD-214, Certificate of Discharge, Active Duty or current Reserve ID Card. 

© 2014 Marine Corps League, Inc. Official Marine Corps League use only. All other use is prohibited