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MCRD Musuem Historical Society Membership Form

Contact Information (*required)
How would you like to be addressed?	If other:
First Name
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Address

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Membership Category
Status	I am a new member. This is a renewal.	I want to make a donation. This is a renewal and donation.
Category
If Life Membership Payment
Member Since
Additional amount I want to donate	$
	General Donation to MCRD Museum Historical Society
	Donation to the Col. Nate Smith Memorial Scholarship Fund
	Donation in honor of
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Comments or Questions
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If mailing a personal check, print order form and mail to: MCRD Museum Historical Society - Membership P. O. Box 400085 Marine Corps Recruit Depot San Diego, CA 92140-0085 Make checks payable to: MCRD MUSEUM HISTORICAL SOCIETY