On-Line MOAA SOMD Chapter Membership Application


MOAA-Southern Maryland Chapter Membership Application

Membership is free for new members for the first year.

Please send to:

Military Officers Association of America

SOUTHERN MARYLAND CHAPTER

P. O. Box 84

NAS Patuxent River, MD 20670

MOAA is a non-profit professional association of former military officers who have served honorably in the service of our country. 

You will be notified of your acceptance shortly.  If you have any questions, please call Tom Smith listed on the Contacts section of this site.

Please provide the following contact information those items with an asterisk are mandatory:

*First name

*Middle Initial

*Last name

National MOAA # (if applicable)
Social Security Number- Optional
Birth Date- Optional

*Spouse's name

*Rank

*Service

 

 * Active Duty

* Retired

* Former

* Reserve

* National Guard

*Surviving Spouse of Eligible Officer

 

*Preferred Street address(usually home address where we will send announcements)

*Address (cont.)

*City

*State/Province

Use the two letter abbreviation please

*Zip/Postal code

Contact Phone (Work):

*Contact Phone (Home):

*E-mail

*Date of Application



Please mail a check for $20.00 to the address below:

Military Officers Association of America-Southern Maryland Chapter

P.O. Box 84

NAS Patuxent River, MD 20670

 

Please review the form for accuracy before pressing the Submit Form button.   When you submit this form, the data on this form will be sent to Tom Smith, Vice President for Membership via email.  If you have any questions, please follow up with Tom.  His contact information is available by clicking here.

Thanks


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