Phone: 1-562-422-4100

    Marine Corps Professional
    Recognition Application Form

    INSTRUCTIONS:

1. Complete this form in full.
2. Click the button at the bottom of this completed form to email it to The War Library, along with a photocopy of the required document(s), or you can Print and mail this form and the required documents to the Library's mailing address below.

Do Not Hilite, Underline, Circle, Colorize
Or Mark In Any Way The DD-214
Or Other Military Document Photocopy You Will Be Sending.

Charge card or Debit card applicants: To expedite shipment of your Recognition you may email this form today. Your Recognition will be prepared and awaiting the arrival of your DD-214 or other, pre-arranged military document(s).

    Marine Corps Occupation:

    Other USMC Profession not listed above...


    Recipient's LAST Name (as it appears on the Report of Separation):
    FIRST Name (as it appears on the Report of Separation):

    MIDDLE name (as it appears on the Report of Separation):
    Title (Must appear on military documentation):Jr Sr II III IV

    Rank:


    I have not moved. My current address info is on file from a previous application

    Address:
    City:
    State:
    ZipCode:
    Phone:

    Your full and complete email address:

    Please enter the FIRST EIGHT DIGITS ONLY of the Recipient's Service Number:


    If you are sending a check or USPS money order please indicate:

    • I will mail a check along with my application and documentation

    • I will mail a USPS money order along with my application and documentation

    CHARGE or DEBIT CARD applicants:

    -- My current Card information is already on file from a previous Application

    If your Card information is not on file, please Complete the following...

    of...
      Ship 1 of my Application Forms per month
      Ship 4 of my Application Forms per month

      Bill my charge/debit card and send me an email receipt between the 1st and 5th day of each month for each shipment. Please note that I

      Your Name as it appears on your charge or check debit card:

      Payment Method
        Check Debit
        Visa
        MasterCard
        American Express
        Diners Club
        Carte Blanche

      Card number:
      Expiration Date
      Card Verification Number (CVV Code) (See below)
      American Express: 4 digits on front of card
      All other cards, 3 digits on back

      After printing this form for mailing, please sign here:

      International shipping cost (U.S. veteran living outside the United States, please add the shipping cost you were quoted...

      TOTAL ADMIN PROCESSING/DELIVERY:

    • .PDF Emailed - $7.50 Full Color
    • U.S. delivery - $22.35 Full Color Document Only
    • U.S. delivery - $27.35 Full Color Document in Bond Enclosure
    • Would you like the full-color Wallet-Size Card Certificate along with one of the above full-size color Certificates (Wallet Cards are available only when a Certificate is requested now or previously.)
      Yes, Unlaminated ($3.50)
      Yes, Laminated ($6.00)
      No

      Would you like a CDrom of ALL your Certificates which you can make copies of, and print on paper (you must request a minimum of 20 Certificates)...

    • Yes ($10.00 per Color Certificate, minimum 20)
    • Yes, ($8.00 per B&W Certificate, minimum 20)
    • No CDrom

      Would you like a published copy of My Military Medal Last Will And Testament?

    • Yes, please include a Medal Will for a male heir of my medals and add $4.00 to my total
    • Yes, please include a Medal Will for a female heir of my medals and add $4.00 to my total
    • No, I will obtain the free jpg copy

    • Would you like to track your package using the internet through the United States Post Office after it has been shipped (for seventy [.75] cents extra)?

    • Yes, add 75 cents to my total
    • No, I don't want to track my package

    • Click Here if you are a Prior Applicant who's DD-214 is on file
      New Applicants Click Here

      Your Application Form is now complete. After clicking the grey-bar button below to send this Form you will soon receive a confirmation email containing final instructions on which items, if any, are needed to fulfill your request. (Your DD-214 can be mailed or emailed).

    Records Chief (REC-AMW)
    The American War Library
    817 East Via Carmelitos
    Virginia Building 319
    Long Beach CA 90805-7549
    Phone: 1-562-422-4100

Print a copy for yourself before clicking the bar below..