Please print or type and provide all information requested
(Note: Only WWII members of the 4th Marine Division, or Units that were in support of the 4th are eligible.)
Name ______________________________
Address____________________________
___________________________________
City________________________________
State_________________Zip____________
Unit WWII: Co._________ Bn.___________ Rgt.__________
Dues - Check one
( ) Annual Dues................................$20.00
( ) Life Membership.........................$75.00
Fund Contribution (s)
( ) The Scholarship Fund..................$______
( ) The Maui Park Fund...................$______
( ) The Monuments Fund..................$______
( ) The General Operating Fund........$______
Total.$_________
Mail to:
4th Marine Division Association
The Fighting Fourth of WWII
337 Redwood Road
Venice, FL 34293-1124
Thank You and Semper Fidelis