APPLICATION

Application for Membership of_______________________________________________________

MARINE CORPS LEAGUE AUXILIARY, INC.

Date:_____________

I herewith make application for membership in the:

_____________________________________Unit, Department of__________________________
BASIS OF ELIGIBILITY: (Please Circle) Wife  Widow  Mother  Grandmother  Sister  Daughter
Stepmother  Stepdaughter        - ------------       Woman Marines:    Former    Active    Reserves  
of :__________________________________, a Marine, who does/does not belong to
____________________________________, Marine Corps League.
(Name of Detachment)
Mustering In Date:____________________ Place:_______________________________________
Mustering Out Date:__________________  Place:_______________________________________
Deceased Date:______________________ Place:_______________________________________
Have you ever belonged to the Marine Corps League Auxiliary before?       Yes       No
If so, what Unit?_____________________ Department of_________________________________
Date last dues were paid:______________  In ___________________________Unit

Sponsor:___________________________          _______________________________________

                                                                            (Applicant's Signature)

Eligibility checked:        DD214
Honorable Discharge   Yes     No                              Address:_______________________________
Other:_____________________                                           _______________________________
                                                                                               _______________________________

                                                                                 Phone: (_____)__________________________
                                                                                 DOB   _____/_____/_____
Date Accepted:______________