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Get Marine Corps League Membership Dues Transmittal & Change Notificatin Form 2012-2024

MARINE CORPS LEAGUE MEMBERSHIP DUES TRANSMITTAL CHANGE NOTIFICATION FORM F R O M A d j u t a n t / P a y m a s t e r of Detachment TO VIA Date National A d j u t a n t / P a y m a s t e r P O B O X 3070 M E R R I F I E L D V A 2 2 1 1 6 Department Paymaster PLEASE READ CAREFULLY PLEASE TYPE OR PRINT NEATLY AND LEGIBLY. Enclose separate dues payment checks one 1 payable to National HQ MCL Inc* and one 1 payable to your Department. Include Date of Birth for all NEW applicants mandatory for PLMs. Utilize two entries Old and New to change a member s address or to correct or change a member s name COA Code. STAPLE ORIGINAL-SIGNED APPLICATION FORMS TO TOP COPY applications cannot be accepted without attached application forms. Detach and retain bottom copy - Forward balance to Department Department - retain bottom copy and forward balance to National HQ MEMBER CODE S PLM HQ USE ONLY LAST NAME JR*etc. FIRST CITY DATE OF BIRTH ST ZIP 4 Ml E-MAIL ADDRESS STREET ADDRESS or PO BOX TELEPHONE NUMBER National dues only Department D u e s Check Code R Renewal 18 N New Member 23 RAM Renewal Associate 18 NAM New Associate 23 RDM. PRINTED NAME Total Received at Department ADDRESS Received at National H Q Date/Time Stamp New Dual 23 Life Member by age L NDM Transmittal Start new sequence on July 1 each fiscal year. NATIONAL HEADQUARTERS ONLY 35 and under 500 3 6 to 50 400 51 to 60 300 61 and over 150 Total National Dues Print Shaded areas are for National HQ use only. Revised December 2012 Reset 2013 Marine Corps League Inc* For Official Marine Corps League use only. Enclose separate dues payment checks one 1 payable to National HQ MCL Inc* and one 1 payable to your Department. Include Date of Birth for all NEW applicants mandatory for PLMs. Utilize two entries Old and New to change a member s address or to correct or change a member s name COA Code. Include Date of Birth for all NEW applicants mandatory for PLMs. Utilize two entries Old and New to change a member s address or to correct or change a member s name COA Code. STAPLE ORIGINAL-SIGNED APPLICATION FORMS TO TOP COPY applications cannot be accepted without attached application forms. STAPLE ORIGINAL-SIGNED APPLICATION FORMS TO TOP COPY applications cannot be accepted without attached application forms. Detach and retain bottom copy - Forward balance to Department Department - retain bottom copy and forward balance to National HQ MEMBER CODE S PLM HQ USE ONLY LAST NAME JR*etc. Detach and retain bottom copy - Forward balance to Department Department - retain bottom copy and forward balance to National HQ MEMBER CODE S PLM HQ USE ONLY LAST NAME JR*etc. FIRST CITY DATE OF BIRTH ST ZIP 4 Ml E-MAIL ADDRESS STREET ADDRESS or PO BOX TELEPHONE NUMBER National dues only Department D u e s Check Code R Renewal 18 N New Member 23 RAM Renewal Associate 18 NAM New Associate 23 RDM. FIRST CITY DATE OF BIRTH ST ZIP 4 Ml E-MAIL ADDRESS STREET ADDRESS or PO BOX TELEPHONE NUMBER National dues only Department D u e s Check Code R Renewal 18 N New Member 23 RAM Renewal Associate 18 NAM New Associate 23 RDM. PRINTED NAME Total Received at Department ADDRESS Received at National H Q Date/Time Stamp New Dual 23 Life Member by age L NDM Transmittal Start new sequence on July 1 each fiscal year. .

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