New Membership and Renewal Applictions

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DUES: TERM:                      ACTIVE DUTY     ALL OTHERS

1 YEAR                                  $20.00                    $25.00

2 YEARS                                 $33.50                    $43.00

3 YEARS                                 $47.50                    $62.00

 5 YEARS               $72.50                    $95.00

LIFE MEMBERSHIP          $192.50                   $255.00

                  (OVER 60)             N.A.                    $205.00

NAME:_________________________________

GRADE:________________________________

STATUS: ACTIVE____     RETIRED______   RESERVE_____   VETERAN____

DOB____________

SSN_____________

SERVICE DATES:   FROM:___________ TO: __________

ADDRESS: ______________________________

PHONE #  _______________________________

EMAIL: _______________________

 

Please send completed application and check or money order payable to:

TREASURER USMCFSA 1296 Clubhouse DR. Viera, FL 32955

Contact us at:  (804) 386-6991
by email at:  treasurer@usmcfsa.com