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Texas Gulf Coast Chapter of the Women Marines Association

Application for WMA Membership

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Women Marines Association

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Women Marines Association
Application for Membership

Please Print
 
Check applicacble: ( )New  ( )Renewal  ( )Reinstated  ( )New Life  ( ) Life
 
Date enlisted____________ Date discharged_____________________
 
How did you hear about WMA?_______________________________
 
Name___________________________________________________
        (Last)                           (First)                      (M.I.)              (Service/Maiden)
 
Address_________________________________________________
         (Street)                                 (City/State)                           (Zip+4)
 
SSN____________DOB_____________Telephone_______________
        (optional)               (MO/DAY/YEAR)
 
Chapter___________________E-mail__________________________
                         (I.E., TX-2)
 
Next of Kin_______________________________________________
                                       (Name)                                                          (Relationship)
 
Address________________________________________________________
(Street)                                   (City/State)                            (Zip+4)
Dues include 'Nouncements and the Membership Directory. 
 
 
  2 Years...$40.00
 
Life (Pro-rated by age):  ( ) 30& Under...$295.00   ( )  31-39 $260.00
 
( ) 40-49...$210.00  ( ) 50-59 $180.00  ( )  60-65...$150.00  66 & older...$120.00
 
Enclosed Dues   $________________Enrolled by ____TX-2__________
 
"I certify that I am now serving or have served honorably in the United States Marine Corps, regular or
 
 reserve components."
 
Signature__________________________Date_____________________
 
Make check payable to WMA and mail with application to:
 
 
Women Marines Association
 
P.O. Box 377
 
Oaks, PA 19456-0377