Lewis B. Puller, Jr. Detachment

Marine Corps League-Detachment #524
P. O. Box 1078
Carlisle PA 17013-1078
717-275-2633

Application for Membership

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Date of Birth ,
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Date of Discharge/Separation/Retirement ,
Type of Application: New Renewal Regular AssociateDual
I hereby apply for membership in the Lewis B. Puller, Jr. Detachment #524, Marine Corps League, Department of Pennsylvania, Carlisle PA 17013 and enclose $30.00 (New Membership) / $25.00 (Renewal) for one year's membership, which includes a one (1) year subscription to the Marine Corps League quarterly magazine. I certify that I have served as a U.S. Marine for more than 90 days, that the character of my service has been honorable, and if discharged, I am in receipt of an honorable discharge. By signature on this application, I hereby agree to provide proof of honorable discharge/service upon request.
Signature:___________________

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Today's Date ,

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Please follow these instructions to submit completed application:
1) Print the completed form using your computer's print button
 
For Additional Information Call:
717-275-2633

2) Sign printed copy and mail application and check to:
Lewis B. Puller, Jr. Detachment #524
Attn: Paymaster
P. O. Box 1078
Carlisle PA 17013-1078