Member Application

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=90 BGCOLOR="#333366" TEXT="#080000" background="72eb85a3.jpg"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Department of New Jersey Marine Corps League</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE="Department of New Jersey Marine Corps Le"><B>home</B></A></div> <div>                                                   </div> </td> </tr><tr> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Regular Application</I></div> <div> <A HREF="forms.htm" TARGET="_top" TITLE="Forms">RETURN</A></div> <div> <IMG BORDER="0" SRC="Symb075c00b7011800000000.png" HEIGHT="19" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">First find the detachment closest to you by following this <A HREF="http://www.mcleague.com/mdp/index.php?module=locator&func=searchbyzip&city=&state=NJ&zip_around=&within=" TARGET="_top" TITLE="http://www.mcleague.com/mdp/index.php?mo">link </A> and enter your zip code </div> <div> <IMG BORDER="0" SRC="Symb075c00b7011800000000.png" HEIGHT="19" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Contact the Commandant of the selected detachment and notify him/her of your interest</div> <div> The fill out the application below and print it and bring it along with proof of your honerable discharge (e.g. DD-214)</div> <div> with you to a meeting of the detachment  </div> <div>  <html> <head> <title>Marine Corps LeagueApplication ForREGULAR MembershipCost </title> <meta name="GENERATOR" content="Microsoft FrontPage 5.0"> </head> <body background="images/anchor4.jpg"> <form action="http://www.nj-marine.com/njmarine@nj-marine.com" method="post"> <table> <TBODY> <tr> <td></td> <th> </th> </tr> <tr> <th></th> <th> </th> </tr> </TBODY> </table> </form> <form> <div align="center"><center><table border="5" width="542"> <TBODY> <tr> <th width="524"> <p align="left">I hereby certify I have served as a U.S. Marine or FMF Navy Corpsman 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. <p align="left"> <b> <input name="certify" type="radio" value="Yes"> </b>I hereby agree to provide proof of honorable discharge/service upon request (REQUIRED FOR MEMBERSHIP). <br>             </th> </tr> </TBODY> </table> </center></div><div align="center"><center><table border="5" width="537"> <TBODY> <tr> <td colSpan="2" width="517"> </td> </tr> <tr> <td vAlign="top" width="88"><b>Detachment:<br> </b></td> <td width="430"><div align="center"><center><p> <input name="Detachment" size="60"><br> </td> </tr> <tr align="center"> <td width="88">* <b>Name:</b></td> <td width="430"><input name="realname" size="60"></td> </tr> <tr align="center"> <td width="88"><b>* Address</b></td> <td width="430"><input name="Adr1" size="60"><br> <input name="Adr2" size="60"></td> </tr> <tr align="center"> <td align="middle" colSpan="2" width="517"> <p align="left"><b>* City: <input name="City" size="30">* State/Province: </b><input name="State" size="4" value=" "></td> </tr> <tr align="center"> <td align="middle" colSpan="2" width="517"> <p align="left"><b>* Zip: <input name="Zip" size="14" value=" ">* Country: </b><input name="Country" size="14" value=" "></td> </tr> <tr align="center"> <td align="middle" colSpan="2" width="517"> <p align="left"><b>* Phone: <input name="Phone" size="20">Fax: </b><input name="Fax" size="20"></td> </tr> <tr align="center"> <td colSpan="2" width="517"> </td> </tr> <tr align="center"> <td align="middle" colSpan="2" width="517"><b>E-mail:</b> <input name="EMail" size="60"></td> </tr> <tr align="center"> <td colSpan="2" width="517"> <p align="left">* <b>Date of birth: <input name="birthdate" size="8"></b>(mm/dd/yyyy)</td> </tr> <tr align="center"> <td colSpan="2" width="517"> <p align="left">* <b>Date of Enlistment/Commission:</b> <input name="doe" size="8">(mm/dd/yyyy)</td> </tr> <tr align="center"> <td colSpan="2" width="517"><div align="center"><p align="left">* <b>Payment Method: <input name="Payment" type="checkbox" value="ON"> Check <input name="Payment" type="checkbox" value="ON"> Money Order</b></td> </tr> <tr align="center"> <td width="88"> </td> </tr> </table> </center></div> </form> <p align="center"><big><big><big><strong>Thank you, Semper Fi!</strong></big></big></big></p> <p align="center"><a href="mailto:njmarine@nj-marine.com"> </a><input type="reset" value="Restart - Clear All Fields"> </p> <p align="center"> </p> </body> </html>  </div> </td> </tr></table></body>