Membership Application
USNDC Marine Detachment Association
Name:___________________________________________
Address:_________________________________________
City______________________________State________________Zip Code__________
E-Mail_____________________________ Home Phone_____________________
Work Phone____________________ Cell_______________________
Birth Date______________________________
Branch of service_________________ Period of Service________________________
Period of Service at USNDC____________________________________
Annual Member: $20.00
Mail To: USNDC Marine Detachment Association
P.O. Box 211
Barrington, NH 03825
Give a brief description of positions held and duties performed while stationed at Portsmouth:
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