Membership Application

Donation Amount:

$ 20.00

Select your Membership Type Above

For additional donations, please visit our donation form here.
NOTE: Membership Dues are not tax deductible

Your Street Address *

State *

Zip Code *

Phone *

I am applying for Veterans Membership:

My Branch of Service

My Dates of Service

By completing this form, I certify that I am an honorably discharged veteran of the U.S. Military Services or on active duty/retired or reserve duty status and the attached evidence (DD214 or ID) is true and correct.

I am applying for ASSOCIATE MEMBERSHIP:

If you are not a U.S. Military Veteran, Check This Box: Not Veteran

I'd like to volunteer for the following services:

Guardian Support Activities

Honor Guard: Ceremonial Rifle Squad

(Note: Rifle Squad volunteers must be honorably discharged US Veterans, and attach your DD-214 or ID to this form)

All applicants must upload your DD-214 and or ID here:

Select File(s)

Is there anything in your background that would disqualify you to serve (e.g. Military Discharge other than honorable, criminal conviction, etc.) Yes No

By completing this form I certify the above information is true and complete and that I may be discharged for false information on this application.

Select Payment Method

Stripe - Credit Card
Check

Personal Info

First Name *

Last Name

Is this donation on behalf of a company?

Company Name

Email Address *

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Donation Total: $20.00