Los Angeles County Chapter Inc– 1st Marine Division Association

Membership Application/Renewal Form

 

 

MEMBERSHIP ELIGIBILITY

Membership in the 1st Marine Division Association, Incorporated, is open to anyone who at anytime honorably served in, is now serving, was attached to, or in support of the 1st Marine Division. Dues are as noted below,circle choice of membership and mail application and check to:

 

1st Marine Division Assn- Los Angeles , LA Chapter,

P.O. Box 220552

Newhall, CA 91322-0252

(Make check payable to: 1MDA-LA)

 

Dues

National Annual Membership—$30.00     National Life Membership-$1000.00

Chapter Annual Membership - $15.00 Chapter Life Membership- $100.00

Total $45.00 Total $1100.00

 

 

Attention! Active Duty Marines: National Membership is $20.00. Your LA Chapter Membership is FREE

 

Name:____________________________ Rank:_______ DOB:_______ Last four digits of SSN:___________

 

Address: ________________________________ City: _______________________ State/Zip+4):____________

 

Home Phone: (____)________________ Spouses Name_______________ Email:________________________

 

Unit(s) Served With: _________________Dates of Service:_____________

Campaigns: _________________________

 

Employer Info. (Optional): ___________________________

 

Applicant’s Signature/Date: ____________________________________Sponsor:______________________________

 

IF THIS IS A RENEWAL, CHECK HERE __

Active Duty Check Here ___