LEATHERNECKS MOTORCYCLE
CLUB
APPLICATION FOR
CORPSMAN MEMBERSHIP
If you would like to join us, please copy and paste the form found below into the body of an email. Fill in the information, then send the form to this address.
You could also print out this questionaire below, fill it out and mail to:
Leathernecks Motorcycle Club
P.O. Box 4650
Apache Junction, AZ 85178
Name:
Address:
City:
State:
Zip Code:
Country:
Email Address:
Phone:
Presently Active? Yes or No
Boot Camp Date and Location:
Years In Which You Served:
Last Rank:
Hospital Corps School Date and Location:
FMS Date and Location:
MOS USMC SERVICE USMC Unit attached to:
Dates:
Location:
Combat Action Award: Yes or No
Medevac Crew Member: Yes or No
Rifle Company: Yes or No
Type of Motorcycle:
Could You Tell Us How You Find Our Club?
