Membership Application For 3rd Marine Division Association

Form Provided By Emmett Queen's 1st Bn 3rd Marines Web Site

Please Fill In Form Then Print Form, And Send Check With Form To

The Third Marine Division Association,Inc.
Post Office Box 254
Chalfont, PA 18914-0254
(215)822-9094
 

Application Date:

Name:

Date Of Birth:

Select any of the following options that apply:Active Duty Retired Reserve Former MarineAssociate

Mailing Address:

City and State: Nine Digit Zip Code:

Home Telephone With AREA CODE:

Spouse's Name:

I Served In: Company/Battery Battalion:

Regiment, 3rd Marine Division, From To:

Association Sponsor Emmett W Queen 1-3 Web Site

My Active Duty USMC/USN Rank Was: Social Security Number:

Signature:

My Check For $

Annual Regular Dues: ($20)

Annual Association Dues: ($20)

Active Duty Dues: ($7. 50)

Paid In Full Life:

Installment Payment Life Membership ($40 Installment)

( FILL IN FORM PRINT OUT ) AND MAIL WITH PAYMENT TO:

The Third Marine Division Association,Inc.
Post Office Box 254
Chalfont, PA 18914-0254
(215)822-9094
 

PLEASE ALLOW 3-5 WEEKS FOR PROCESSING AND RECEIPT OF NEW MEMBER MATERIALS

MEMBERSHIP ELIGIBILITY AND DUES

REGULAR Membership: Open to anyone who, at any time served honorably in, is currently serving in, was attached to, or was in support of the 3rd Marine Division.

ASSOCIATE Membership: Open to those who are legal dependents, parents or spouse of those persons living and deceased who are or were eligible for Regular Membership

ANNUAL DUES:

Regular and Associate Members ------------------------------------------------------------$20 yearly

Active Duty Personnel-----------------------------------------------------------------------$7.70 yearly

LIFE MEMBER DUES:

Under Age 55 --------------------------------------------------------------------------------$200.

Age 55 to 64 ---------------------------------------------------------------------------------$150.

Over Age 65 ----------------------------------------------------------------------------------$75.

Installment Life Member Payments of $40 each, or balance due, may be made over a two year period. Life Member dues is based on the members age AT THE TIME THE INSTALLMENT PAYMENT PLANE IS INITIATED

Emmett W Queen Sgt. (Ret).
Copyright © 1999 [1st Bn 3rd Marines 3rd Marine Division Web Site]. All rights reserved.
Revised: