
Application for Membership
Please PRINT all information requested below (2 Pages)
Name: _____________________________________________ Phone: (_____) _________________________
Address: __________________________________________City: __________________ State: ______ Zip: _______+_____
Date of Birth: ____/____/______ Email Address:__________________________________
Date of Enlistment/Commissioning: ____/____/______ Date of Discharge/Separation/Retirement: ____/____/______
Type of Application: New ____ Renewal ____ Dual ____ Associate ____ Regular ____
Have you ever been convicted of a felony? Yes / No. If yes is circled, 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 SSgt Walter F. "Trae" Cohee III Detachment # 115 of the Marine Corps League and enclose $27.00 for one year’s membership. *Includes free subscription to "Semper Fi", The Magazine of the Marine Corps League
REGULAR MEMBERSHIP ONLY. I hereby certify that I am currently serving or have served honorably in the U.S. Marine Corps, on active duty, for not less than ninety (90 days) or have served or am currently serving in the U.S. Marine Corps Reserves and have earned no less than ninety (90)days and earned the Marine Corps Device or Warfare Device worn on the Service Ribbon authorized for FMF Corpsmen. If discharged, I am in receipt of an honorable discharge or DD 214. By signature on this application, I hereby agree to provide proof of honorable service/discharge upon request. "Honorable service" will be defined by the last DD-214 or Certificate of Discharge that the applicant received. General Discharge under Honorable Conditions is acceptable.
_________________________________________________________________
Sponsor where applicable
_________________________________________________________________
Applicants Signature
Upon completing this application, return it along with your check for $27.00 made payable to "MCL Det 115", and a copy of your DD-214 or Honorable Discharge to your sponsor or mail it to Jim Siegel (Paymaster) 30245 Southampton Bridge Road, Salisbury, MD 21804-2475 or better yet bring these items and attend our next meeting. The Detachment meets the 2nd Wednesday of each month at the American Legion Post 64, 1109 American Legion Road, Salisbury, MD. Copy of DD-214 or Honorable Discharge not required for Associate Members.OATH OF MEMBERSHIP - REGULAR MEMBERS: I _______________________________________, in the presence of Almighty God, and the members of the Marine Corps League here assembled, being fully aware of the symbols, motto, principles and purposes of the Marine Corps League, do solemnly swear or affirm that I will uphold and defend the Constitution and Laws of the United States of America and of the Marine Corps League. I will never knowingly wrong or injure or permit any member or any member's family to be wronged or injured if to prevent the same is within my power. I will never propose for membership, one know to me to be unqualified or unworthy to become a member of the League. I further promise to govern my conduct in the League's affairs and in my personal life in a manner becoming a decent honorable person and will never knowingly bring discredit to the League, so help me God.
Signature ______________________________________
OATH OF MEMBERSHIP - ASSOCIATE MEMBERS: I ____________________________________________, in the presence of Almighty God, and the members of the Marine Corps League here assembled, being fully aware that as an Associate Member, I will not be permitted to hold an elective office or to vote on Marine Corps League policy, a membership application, or an election of officers, do solemnly swear or affirm that I will uphold and defend the Constitution and Laws of the United States of America and of the Marine Corps League. I will never knowingly wrong or injure or permit any member or any member's family to be wronged or injured if to prevent the same is within my power. I will never propose for membership, one know to me to be unqualified or unworthy to become a member of the League. I further promise to govern my conduct in the League's affairs and in my personal life in a manner becoming a decent honorable person and will never knowingly bring discredit to the League, so help me God.
Signature ______________________________________
If married, please provide the following information: Spouse's first name ____________________, Spouse's DOB (just
MM/DD) __________ and the date you were married MM/DD/YYYY _______________________ Thank You.Return to Home Page