6th Marine Division Association Membership Application Form
(May also be used to report address & record changes or submit questions)

Name: _____________________________________________New Member Yes No
Spouse 1st Name: ________________________Phone No. (____)__________________
Address ________________________________________________Apt. No. __________
City ___________________________State____________________Zip+4 _____________
New Address ____________________________________________Apt. No.__________
City __________________________ State __________________  Zip+4 _____________
Email Address: Home __________________________ Work ________________________
Unit______________________________________________________________________                        (Company)            (Battalion)        (Regiment)          (Special)
If new member, name of recruiter/sponsor, if any__________________________________

New Associate:
Your relative or friend who served in the 6th Mar. Div.______________________________
His unit and your relationship: _________________________________________________
Present Member:
Membership ID Number: (upper left of mail label) ________________________
Annual Dues ($10/year) Regular   Associate . . . . . . . . . . . . . . . $ ____________
Life Membership ($75) Regular   Associate . . . . . . . . . . . . .. . . .$ ____________
The Striking Sixth annual subscription to Officinal Newsletter ($10/yr) . . .$ ____________
Enclosed is my check or money order,
payable to the 6th Marine Division Association. . . . . . . . . . . . . . . . . .$ ____________
Please answer the following question________________________________________
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