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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