Active Membership Renewal

Second Battalion, 4th Marines Association, Inc.

Name: First ______________________________ MI: ______Last: ___________________________

Email_Address: _________________________________________________________________________

Mailing address: _____________________________________________________________

City: ________________________________ State: ________ Zip: _______________-____________

Period of Service with 2/4: (From)____/____/____     (To)____/____/____

Unit assigned during tour with 2/4 (include Co & Plt): __________________________________________

*****Optional Information*****

Name of Spouse or Significant other : __________________________________________________________

Children's Names: _________________________________________________________________________

 The Association is run totally on its membership fees and a few fund raising events.

  *****Dues Information*****

Note: Print this form and mail it with your check.

No information will be released to anyone outside the Association under any circumstances.

  Annual Memberships:    $20.00       Annual Membership runs from July 1st through June 30th each year.

Life Membership dues can now be paid in installments over a time period not to exceed 9 consecutive calendar months.                                            
54 & under --- $175.00 or 3 @ $58.33 each…

Age 55 – 64 --- $125.00 or 3 @ $41.66 each…

65 + --- $75.00 or 3 @ $25.00 each

  Please printout and return this application and your check or Money Order to:

Second Battalion, 4th Marines Association, Inc.

PO Box 6511

Concord NC 28027

eMail link

Depending upon your tax status, monies paid to the Association may be Tax Deductible.