Survey - Military Family New Member Application - National Military Family Association

Please complete your contact information:

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Name:

Title	First Required	Last Required

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Email: Required

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Street 1: Required

Street 2:

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City/State/ZIP:

City Required	State Required	ZIP Required

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Phone Number: Required

You will receive occasional communications such as email confirmations from the National Military Family Association.

Question - Not Required - What is YOUR affiliation to the military? Service Member
Spouse of Service Member

To better understand those we serve, please complete the following questions with the service member's information.

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Question - Required - Branch of Service:

Question - Not Required - Your Rank (pay grade) if you are the service member:

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Question - Required - What is your service member's status?

Question - Not Required - Your Spouse's First Name:

Question - Not Required - Your Spouse's Last Name:

Question - Not Required - Your Spouse's Branch of Service:

Question - Not Required - Your Spouse's Rank (pay grade):

Question - Not Required - Your Spouse's Status:

Question - Not Required - Please check which electronic publications and/or eNotices you would like to receive:

	Military Family News
	Military Spouse Scholarships and Education
	Operation Purple Camp eNotices

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Question - Required - Please tell us where you first heard about the National Military Family Association: