Marine Corps League REPORT OF OFFICER INSTALLATION
FROM
DETACHMENT
DETACHMENT #
DEPARTMENT OF
NEW JERSEY
DEPT FEDERAL EIN# DEPT INCORPORATION ID# DATE FOR DEPT INSTALL ONLY
DATE OF ELECTIONS
DATE/PLACE OF INSTALLATION
INSTALLATION OFFICER/TITLE
SIGNATURE
DETACHMENT MEETING
DAY/DATE OF MEETING
TIME
PLACE
STREET ADDRESS
CITY
STATE NEW JERSEY
ZIP
E‑MAIL OFFICIAL CORRESPONDENCE FAX OFFICIAL CORRESPONDENCE TO: MARK FOR THE ATTENTION OF:
*Note: The ADDRESS Information called for in the following section does not necessarily refer to the Officer's personal mailing address, but rather the address at which the Officer will receive official correspondence from National and Department Headquarters. If the Department/Detachment has a single address, i. e. PO BOX, to which all official correspondence should be sent, list that address for all Officers.
OFFICE
INCUMBENT
PHONE NUMBER
E-MAIL
ADDRESS
CITY/STATE ZIP+4
COMMANDANT
SENIOR VICE COMMANDANT
JUNIOR VICE COMMANDANT
JUDGE ADVOCATE
JUNIOR PAST COMMANDANT
ADJUTANT/ PAYMASTER
ADJUTANT
PAYMASTER
CHAPLAIN
SERGEANT- AT-ARMS
Total renewal dues are $ . This amount Is the total of Detachment, Department and National dues and will appear on the Direct Billing Notices.
SUBMITTED BY
TITLE
