Please complete all sections (A-G).

Except for Introductory Memberships, your application is not complete until payment has been received. We accept Major Credit Cards online and Checks or Money Orders (US Funds) by mail. See payment details at Item #F 18 and at Section G (Next Page).

If you have a question, send it to: Membership Chairman  

Section A. Application Type

- Initial (New member) - Sponsor (if any) - Renewal (Current member) - Rejoin (Past member) - Complimentary (Active Duty) - I will pay by: Credit Card - I will pay by: Check or Money Order - I will pay by: Complimentary

Section B. Member Type

- Introductory 2 yr Complimentary (Active Duty)
- Full 1 yr $25 (Retired/Separated)
- Full 3 yrs $50 (Retired/Separated)
- Associate 1 yr $10 (Active Duty, Civilian, Guard, Reserve)
- Associate 3 yrs $20 (Active Duty, Civilian, Guard, Reserve)
- Adjunct 1 yr $25 (Spouses, Widows)
- Affiliate 1 yr $25 (Others)
- Lifetime $300 (Single payment)
- Lifetime $300 (4 Quarterly payments of $75)

Section C. Contact Information
(Required. We will use this info to contact you. If "Not Applicable" type N/A)

1. Name: (First, MI, Last, Nickname, (Jr/Sr/III etc)  
2. Email: (e.g. name@verizon.net)  
3. Home Address:  
4. Home City:  
5. Home State:  
6. Home Zip:  
7. Home Phone #: (include AC)  


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8. Unit or Business Name:  
9. Unit or Business Address:  
10. Unit or Business City, State, Zip:  
11. Unit or Business phone #: (include AC)