Commiskey-Wheat Detachment

Marine Corps League-Detachment 1073

 USMC Eagle, Globe, & Anchor

Application for membership

Last Name First MI
Spouse's Name
Address Email
City State Zip
Home Phone ###-###-####Business Phone ###-###-####
Date of Birth ,
Date of Enlistment/Commissioning ,
Date of Discharge/Separation/Retirement ,
Type of Application: New Renewal Regular Associate
I hereby apply for membership in the Commiskey-Wheat Detachment, Marine Corps League, Department of Mississippi, and enclose $35 (new) or $30 (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:___________________

(Sign after printing)

Today's Date ,

SSN/Service Number 
Sponsor source

Please follow these instructions to submit completed application:
1) Print the completed form using your computer's print button

2) Sign printed copy and mail application and check to:
Commiskey-Wheat Detachment #1073
P.O. Box 18290 Hattiesburgl, MS 39404