Application For Membership
Jim May Memorial Detachment No. 816 Marine Corps League
 

Last Name  _______________________ First  ________________ MI ______

Spouse's Name  _____________________

Address  _________________________________________________________

City _______________________________ State  ________  Zip  ___________

Home Phone ________________________ Business Phone _______________

Email  ____________________________@_____________________________ 

Date of Birth  ________________________

Date of Enlistment/Commissioning __________________

Date of Discharge/Separation/Retirement  _______________  

Type of Application:     New    Renewal                       Associate    Regular

I hereby apply for membership in the Jim May Memorial Detachment, Marine Corps League, Department of Okinawa, Japan, and enclose $25.00 for one year's membership, which includes a year's subscription to the Marine Corps League quarterly magazine.  I certify that I have served as a U.S. Marine for more than 90 days, that the character of my service has been honorable, and if discharged, I am in receipt of an honorable discharge. By signature on this application, I hereby agree to provide proof of honorable discharge/service upon request.

Signature: __________________________

Today's Date ________________________

Sponsor source: Online Application Form

Please follow these instructions for a complete application submission:

1. Print the blank form by highlighting only the form and right clicking on highlighted area.
2. Select the "print selection" option and print.
3. Fill out the application and sign
4. Make check payable to Jim May Memorial 
5. Mail application and check to:

Robert Swanson
Detachment No. 816
PSC 556 BOX 684
FPO, AP 96386-0684