Membership Application

MEMBERSHIP APPLICATION

and

Renewal Form

To join or to renew your membership, complete this form and print it for your records.

I wish to join the Army Aviation Association of America (AAAA). My past or current duties affiliate me with U.S. Army Aviation and I wish to further the aims and purposes of the AAAA. I understand that my membership includes a subscription to AAAA's official magazine, "Army Aviation", and that my membership will start on the subsequent first of the month. Contributions or gifts to the AAAA are not deductible as charitable contributions for federal income tax purposes. Dues payments may be deductible by members as ordinary and necessary business expenses.

Information submitted using this form goes through a secure server.

At a minimum, all yellow shaded boxes must be completed for personal information:

REMEMBER TO CLICK THE "SUBMIT" BUTTON WHEN YOU'RE FINISHED

Action:
General Information:
Rank/Title:	or type in other
Select your status:
Sex:
First Name:
Middle Initial:
Last Name:
Name Suffix:
Nickname:
Spouse's Name:
Mail - Magazine Delivery Address:
Street:
Street:
City:
APO Unit:
State/APO:	State or APO
Country:
Zip Code:	-
APO Number:	-
Additional Information:
Email Address:	If none, please enter the word NONE
Work Phone:
Home Phone:
Fax Number:
Job Title:
Organization Name (firm/unit):
U.S. Citizen:
Date of Birth:	mm/dd/yy
Are You a Former AAAA Member?
If Yes, What Year Did You First Join?
Chapter Affiliation Preferred:	Other
Other Chapter
Name of AAAA Recruiter?
Payment Information:
Annual Dues (Have you considered becoming a Life Member?)	1 Yr $26 2 Yrs $47 3 Yrs $70 Add $5 per year if you have a foreign, non-APO address. Add $15 if your check is drawn on a foreign bank.
Annual Dues for Full-Time Students; Enlisted; WO1s; GS-8 DACS & Below; Wage Board 12 DACs & Below:	1 Yr $15 2 Yrs $27 3 Yrs $39 Add $5 per year if you have a foreign, non-APO address. Add $15 if your check is drawn on a foreign bank.
Method of Payment:
Credit Card Number:
Security Code:	What's a Security Code?
Credit Card Expiration Date:
Credit Card Address if Different from Delivery Address:
Street:
Street:
City:
APO Unit:
State/APO:	State or APO
Country:
Zip Code:	-
APO Number:	-
Comments and Third Party Consent:
Comments:
From time to time, we will share member information with third parties:	I give my consent I do not give my consent

REMEMBER TO CLICK THE "SUBMIT" BUTTON WHEN YOU'RE FINISHED

We recommend that you print a copy of this form for your records PRIOR to submission.

Printing Instructions:

1) Press PRINT button on toolbar or,

2) Click the "File" tab at the top of your browser menu bar,

3) Scroll down to print

4) Print one copy.

Information submitted using this form goes through a secure server.

Your Security Code


American Express 4 digits on front of card		Visa and Mastercard last 3 digits on back of card

Note: The digits are printed on your card, rather then stamped in the plastic like the digits in your credit card number.

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