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Lima Company 3rd Battalion 5th Marines Reunion Association Application Form

To begin the registration process for "L" Company 3/5, fill out the information below and click on the Submit button at the end of the form.  If you have questions or need assistance, please send email toLima 3/5 Webmaster.

Contact Information
Name:
 
Email:
Your email address will appear on the company roster unless you tell us otherwise.
 
Phone:
Address:
City:State:ZIP:
     
       
    Country:  
     
Lima Company Information:
Rank:
MOS: 
In Country Dates - MM/YY to MM/YY:
PlatoonSquadFire Team
 
Nick Names:
 
Purple Hearts: Dates: MM/DD/YY
 
Personal Information:
Wife: 
Children: 
Comments: (optional)
Do you want this information made available to other members of this Unit? Yes  No
By submitting this application, I affirm that I have read the enlistment contract and agree to pull another tour of duty with Company "L" 3/5 under any terms and conditions.
 
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