Military Annual Membership Registration Form

Membership Annual Registration-Military

Complete the form below to sign up for our membership service.
Membership Type
Do you have dependent children under the age of 18?*
How many dependent children under the age of 18 do you have?
Adult Name*

First NameLast Name
Birth Date:

MonthDayYear
Child 1 Name

First NameLast Name
Child 1 Birth Date:

MonthDayYear
Child 2 Name

First NameLast Name
Child 2 Birth Date:

MonthDayYear
Child 3 Name

First NameLast Name
Child 3 Birth Date:

MonthDayYear
Child 4 Name

First NameLast Name
Child 4 Birth Date:

MonthDayYear
Child 5 Name

First NameLast Name
Child 5 Birth Date:

MonthDayYear
Child 6 Name

First NameLast Name
Child 6 Birth Date:

MonthDayYear
Child 7 Name

First NameLast Name
Child 7 Birth Date:

MonthDayYear
E-mail*
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Payment*

Adult Military AnnualFirst payment includes a one-time processing fee.

$120.00 for the first year then,$90.00 for each year

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Membership Annual Registration-Military