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Membership Application

The membership application must be completed in its entirety to be considered for membership. This application has two steps.

Step 1: Complete the Membership Application form.
Step 2: Complete payment of your membership dues.

STEP 1

Membership Application

Name

Last First Middle Suffix

Address

Street City State Zip

Contact

Email Home/Cell Phone Linkedin Address

Service

Active/Ret/Discharged

Branch Status Rank

Current Assignment/Occupation

References

List either members of the 1stLARBA or active duty (USMC/USN)

Reference 1 Reference 2

Membership Dues

Please select the your level of membership

$35 Standard Membership $200 Lifetime Membership $50 Active Duty Lifetime Membership $100 Retiree Lifetime Membership
Check this box to confirm that the information provided is correct and accurate

Prove you're not a robot!

STEP 2

Membership Payment

Payment by Check.

Please make payable to 1st LAR BN Association and mail to:
1st LAR BN Association
P.O. Box 5743
Oceanside CA, 92052

Pay dues online with PayPal.


Membership Dues