South Plains Detachment #519 Marine Corps League Membership Application
Complete this application in full and be prepared to submit your most recent discharge document and applicable dues.
Applicant Information
Last Name
*
First Name
*
Middle Initial / Suffix (Jr., Sr., etc.)
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Street Address
*
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
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Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
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New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP+4
*
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Application Type
Type of Application
*
New
Renewal
Membership Type
*
Regular
Associate
Dual
Lifetime
# of Years Paying
Please Select
1
2
3
4
5
Lifetime
Detachment you are applying for membership to:
Please Select
South Plains #519
Name and number of other Detachment(s) you currently belong to if applicable
Military Service
Date of Enlistment/Commissioning
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Discharge/Retirement/Separation
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Copy of DD-214 or Certificate of Discharge (Service Copy 2 or Marine Copy 4)
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Eligibility & Background Screening
Have you ever been convicted of a felony?
*
Yes
No
Please describe the nature of the felony conviction
Have you ever been expelled from the Marine Corps League?
*
Yes
No
Have you ever been convicted of any crime, not limited to a felony, in which the victim was a child?
*
Yes
No
Are you currently incarcerated, or on supervised probation for a felony or misdemeanor conviction of any crime?
*
Yes
No
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 FMF Sailor who has earned the FMF Device or FMF Ribbon. 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 further authorize the National Executive Director, Marine Corps League to obtain an unredacted copy of my latest DD form 214 from the Marine Corps Custodian of Official Military Personnel Files (OMPF) or the National Archives, 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.
Note: Certain answers above are automatic disqualifying conditions under Marine Corps League National Bylaws. Submission of this application does not guarantee membership; the Detachment votes on all new members.
Oath of Membership (Regular/Associate Members)
I, [Applicant's Name], In the Presence of Almighty God, do solemnly swear, that I will uphold and defend the Constitution and Laws of the United States of America and the Bylaws and Administrative Procedures of the Marine Corps League. That I take this obligation willingly and in good faith and that I will follow the directions and guidance of elected and appointed officers of the League. That I will participate and support the missions and activities of the Marine Corps League, and that I promise to govern my conduct in such a manner that I will never bring discredit upon myself, Members of the League, or the Marine Corps League, so help me God.
Type your full legal name as your signature
*
Applicant's Signature
*
Sponsorship
Sponsor Name (if applicable)
Dues Enclosed / To Be Paid ($ Amount)
*
Amount Due ($ Amount)
Payment Method
*
Please Select
Check
Cash
Money Order
Other
J. Hiler, Paymaster, South Plains Detachment #519, paymaster@spmcl.org
Member #
PLM #
Profile ID #
Transaction Code
Please Select
N
NAM
NDM
R
RAM
RDM
R/I
T
L
Date Received by Paymaster
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
South Plains #519
Amount Due
Detachment Vote Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Sworn In Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Application
Submit Application
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