Semper Fi Riders Membership Application

Semper Fi Riders
Marines, Navy FMF Corpsmen and Associates serving our local community and advancing the awareness of the needs and contributions of America’s Veterans and their families.
Application for Membership
* Choose Full Membership type if you are an Active Duty Marine or Navy FMF Corpsman or a Veteran Marine or Navy FMF Corpsman with DD214.

* Choose Associate Membership type if you do not meet the Full Membership type. NOTE: Full Membership sponsorship is required for Associate Membership.
Membership Type *
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Phone Number *

Area Code Phone Number
Current military or civilian status: *

Active Duty Guard/Reserve Retired Honorable Discharge Civilian
Have you read and concur with Bylaws? *
Full membership applicants must present proof of Honorable Service (ex. DD214 or Military ID card) with their application.
Attach copy of DD214 or Military ID card as proof of service:

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Cancel of
Prefer not to attach a copy of DD214 or Military ID card and will be bringing it to the next meeting
Emergency contact information:
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Phone Number *

Area Code Phone Number
Signature *

Clear
Should be Empty: