3rd Marine Division Association
Membership Application

Please fill in all information requested then send it with payment to the address at the bottom of the form.

 
Application date:
Name: Date of birth:
Active Duty         Retired         Reserve         Former        Associate 
Mailing Address:
City and State:  Nine-Digit Zip Code: 
Home Telephone:  ()  Spouse's Name:
E-Mail: Occupation:
I served in:  Company/Battery      Battalion      Regiment
From:  to:    My Active Duty Rank: 
How did you hear about the Association/Sponser:  

Signature: _______________________________________ My check for $  is enclosed for:


Annual Regular Dues ($30.00) Annual Associate Dues ($30.00)
Active Duty Dues ($7.50) *Paid in Full Life Member Dues
Installment Payment Life Membership ($40.00 installments)
*Life Membership:    Under age 55 = $250    Age 55-64 = $200    Over age 65 = $125

Fill out application, sign and then mail with payment to:
Third Marine Division Association, P.O. Box 254.Chalfont, PA. 18914-0254
Please allow 3-5 weeks for processing and receipt of new membership materials.

Semper Fidelis

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