Desert Cities/Mitch Paige, Medal of Honor Chapter Membership Application


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Desert Cities/Mitch Paige, Medal of Honor Chapter
First Marine Division Association
Joe Daily, Secretary
POB 10856
Palm Desert, CA 92253-0856
(760) 901-5494

Email dcmpchapter@earthlink.net

Regular Membership in the First Marine Division Association is open to anyone who honorably served in, is now serving, was attached to, or in support of the First Marine Division.







NAME:_____________________________RANK:__________Service no:__________

STREET:_______________________CITY:______________ZIP:________

HOME PHONE:_________________SPOUSE'SNAME:____________

DATES OF SERVICE:FROM_________TO______________UNIT:___________________

OCCUPATION:_____________________COMPANY:__________________

ADDRESS:_________________________PHONE:___________________

APPLICANTS SIGNATURE:___________________SPONSOR:WebSite

DUES

CHAPTER NATIONAL TOTAL
Regular $25.00 $30.00 $55.00

Active Duty
Regular $10.00 $10.00 $20.00

Note: Dues are broken down by Chapter and National because some National Members belong to mulitple chapters. Total amount must be paid at time application is submitted. Make check out to DC/MP,MOH Chapter, FMDA.










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