Last updated February 3, 2010
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Last updated February 3, 2010
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New Member Application Recommended by: ______________________________________________________________________________________________________________ (Please enter the name of the FSA member who recommended you for membership) Last Name: __________________________ First: _________________________________ MI: _____ Grade: _________ Gender: _____ Date of Birth: _____ / _____ / _____ SSN ______-______-______ USMC Service: From _____ / _____ / _____, To: _____ /._____ /_____ Current Address: Street:________________________________ City:_________________________________ State: ___________ Zip: _________ Phone: ____-________-________ Email: ____________________________________________ Status: Active_____ Reserve_____ Retired_____ Veteran_____ Civil Service_____ Spouse_____ Midshipman_____ Cadet_____ Service History (Please indicate command assignments (ie 1st MarDiv 75-78; 2nd MAW 78-80; MCB, CamPen 80-84) ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ Email questions to Secretary ________________________________________________________________________________________________________________
DUES: TERM: ACTIVE DUTY ALL OTHERS 1 YEAR $15,00 $20.00 2 YEARS $28.50 $38.00 3 YEARS $42.74 $57.00 5 YEARS $67.50 $90.00 LIFE MEMBERSHIP $187.50 $250.00 LIFE MEMBERSHIP N/A $200.00 (OVER 60) Please send completed application and check or money order payable to: TREASURER, USMCFSA 1001 McARTHUR DRIVE JACKSONVILLE, AR 72076 Contact us at : (501) 982-8930 or by email at: |
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DIRECTORY ACADEMIC MEMBERSHIP REGISTRATION NORTH CHINA FOOD SERVICE POW's Copyright 2001, USMCFSA all rights reserved. Neither the United States Marine Corps nor any other component of the Department of Defense has approved, endorsed, or authorized this organization, its services or activities.
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