Last updated June 28, 2008

                                                                                        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:

secretary-usmc@usmcfsa.com

                                                                                                                                                                      

DIRECTORY

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