Contact information:
Name:	* required
Date of Birth:
Rank:	Major General Brigadier General Colonel Lt Colonel Major Captain Lieutenant
Spouse's Name:
Mailing address:	Street Address or POB Number Address Line 2 City, ST ZIP Please Specify if APO/FPO AP, AE, etc.
Phone:
eMail Address:
Retirement Date:
Status:	Active Duty Retired Drilling Reserve Drilling Guard Former MSC (not retired) Surviving Spouse
Directory:	YES, I want my contact information published in the directory NO, do not publish my contact information in the directory
Project Connect	Yes, add my EMAIL to the Project Connect List for Job Announcements No, do not add my EMAIL to the Project Connect List for Job Announcements
Membership Type:
Select One:	Regular Annual ($20) O1 to O4 Not Retired ($15) Life (see chart below) Free (New HSA grads) Free (First Year of Retirement) Free (Congratulations card from us)