📢 UPCOMING
🎖️ 54th AZ State Convention • June 19–20, 2026 • Glendale, AZ • Hosted by Old Breed Detachment #767 🎟️ Banquet tickets $65 • Reservation deadline June 10 • Contact Terry Byron: 520-982-0023 📞 Questions? Contact the Department or email cccdeptazmcl@hotmail.com 🎖️ 54th AZ State Convention • June 19–20, 2026 • Glendale, AZ • Hosted by Old Breed Detachment #767 🎟️ Banquet tickets $65 • Reservation deadline June 10 • Contact Terry Byron: 520-982-0023 📞 Questions? Contact the Department or email cccdeptazmcl@hotmail.com
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Marine Corps League Department of Arizona
Members Only — Department of Arizona

Membership Dues Transmittal — Short Form

Department of Arizona

Membership Dues Transmittal — Short Form

Complete all sections below. Add each member, select their code, and fill in dues quantities. Click Submit & Send to generate the official PDF and deliver it to the Department Paymaster.

📋
Short Form — 6 or Fewer Members

Use this form when submitting 6 or fewer members. If you are submitting 7 or more members, please use the Transmittal Long Form instead.

🎖️ Detachment Information
— Select your detachment — ▾
💰 Detachment Paymaster
🏛️ Department Paymaster
💵 Payment

Payment information is required to submit this form. Select your payment method below.

📊 National Dues Breakdown

Enter the quantity for each code used in this transmittal. Totals are calculated automatically.

Code & Description Cost/Member Qty Total
NATIONAL DUES TOTAL $0.00
👥 Members

Maximum 6 members per short form. For 7 or more members use the Long Form.

Sent automatically from webmaster@mclaz.org to the Department Paymaster. You will receive a confirmation copy.

📋 How It Works

1. Select your detachment and fill in paymaster info.

2. Enter dues quantities for each code used.

3. Select your payment method and enter confirmation code (Zelle/ACH) or check numbers (Check).

4. Add each member (up to 6) and select their transaction code.

5. Click Submit — the completed PDF is emailed to the Department Paymaster and you receive a confirmation copy.

💳 Payment Methods

Zelle — Send payment electronically and enter your confirmation code.

ACH Transfer — Submit via ACH and enter your bank confirmation code.

Check — Mail your check to the Department Paymaster along with a printed copy of this completed form.

📬 Submitting To

Department Paymaster
Gary Anderson — mclazdeptpaymaster@gmail.com

The Department Paymaster will forward to National HQ after payment clears.

📖 Transaction Codes
N — New Member (Jul 1–Feb 28) $25
NAM — New Associate (Jul 1–Feb 28) $25
NDM — New Dual Member (Jul 1–Feb 28) $25
R — Renewal $20
RAM — Renewal Associate $20
RDM — Renewal Dual $20
R/I — Reinstatement $20
N* — New (Mar 1–Jun 30) $15
NAM* — New Assoc (Mar 1–Jun 30) $15
NDM* — New Dual (Mar 1–Jun 30) $15
L — Life Member (age-based)
T — Transfer (attach form)
COAN — Change Address (new)
COAO — Change Address (old)
CON — Change of Name
CARDG — Gold Card Replacement $20
CARDP — Plastic Card Replacement $10
⚠️ Requirements

Attach ORIGINAL signed applications and/or transfer forms.

Include Date of Birth for all new applicants (mandatory for PLMs).

Enclose a check payable to the Department. The Department Paymaster forwards dues to National HQ after payment clears.

📥 Download Blank Form

Prefer to fill out and submit the original PDF manually?

Download Blank PDF