(Rank / Full Name) (DOB: Day/Mo/Yr)
(Mailing Address, with Apartment or Lot Number)
(City, State, ZIP)
Home Phone: ( )
Email address:
Military Service Branch: (circle one) USA, USN, USMC, USCG, USPHS, NOAA
Military Status: (circle one): Active Duty, Retired, Former Reserve, National Guard
Dates of Service:
(From - Year) (To - Year)
Hereditary Membership eligibility
is based on realtionship with:
Spouse's First Name:
$300 Regular Perpetual * $75.00 Installment
$300 Hereditary Perpetual * (+21 yrs old) $75.00 Installment
$200 Hereditary Perpetual *(under 20 yrs old) $50.00 Installment
$200 Memorial Perpetual (Pay in full at the $35.00 Hereditary Annual
time of application) Annual Chapter Dues $10.00
$35.00 Former Member $35.00 Regular Annual
$15 of National Dues is applied to a subscription to Officer Review magazine.
* Perpetual memberships are a one-time cost and may be paid in four quarterly installments
as listed above.
Applicant's Signature
Date
Sponsor's Rank / Name (if applicable)
Sponsoring Chapter (if applicable) Las Vegas, NEVADA
Mailing Address: The Military Order of the World Wars, 435 N. Lee Street, Alexandria, VA 22314
Toll Free: 1-877-320-3774, Fax: (703) 683-4501, Email: [email protected].