WMA Membership Application   (For New Members Only) Existing members click here
If you are already a member but need a login username and password click here
Applicant Information

First Name:  
MI:
Last Name:  
Last Name in Service:
DOB:    
Street Address1:
Street Address2:
City:
State:
Zip:
Home Phone:
Cell Phone:
SSN:
Email:    
Chapter Code(i.e., PA-2):
 
(Chapter membership is not mandatory; however, if you would like to join one and don't know the chapter closest to you, please let us know.)

Alternate Address Information

Name:  
Relationship:
   
Check if same as above:
Street Address1:
Street Address2:
City:
State:
Zip:
   
Service Dates: From
Service Dates: To:
Phone:
Email:  
Reason for alternate:

 
Emergency Contact

Name of a relative not residing with you:
Relationship:
Phone:
Address:
City:
State:
Zip Code:

 
Spouse/Significant Other Information

Name:
Date of birth:  
Email:  
Phone:

 
Military Information

When Served:
Name(s) Served Under:
Maiden Name:
Plt. and Series:
MOS:
Molly Marine:

 
RMD Preferences

After 2012 the Resource and Member Directory (RMD) will be sent in CD format. If you prefer another format please check below.

 
Membership Information



Biennial: 2yrs $40
Life(pro-rated by age): 30 & under $29531-39 $26040-49 $21050-59 $18060-65 $15066 & over $120
* Additional 4% Credit card processing fee will be added in the next step.

How did you hear about WMA?
Enrolled By:
Chapter Name if Known:

 
Signature and Verification

By my signature, I verify that all information contained within is correct and that I am eligible to apply having served or honorably serving in the United States Marine Corps.

Signature of Applicant     Date  

*Enter a Username and password for your account.

UserID:
Password:
   

Submit Application

Cancel Application

A very small transaction/handling fee has been added to your dues purchase.

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