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

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.

Question - Not Required - With what Uniformed Service branch is the service member affiliated?

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

Question - Not Required - Your Status (if you are the service member):

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:

	Association Monthly Bulletin
	Military Spouse Scholarships eNotices
	Operation Purple Camp eNotices
	The Voice for Military Families bi-monthly eNewsletter
	Weekly Military Family Topics

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Question - Required - I would like to receive a hard copy of the Association bi-monthly newsletter 'The Voice For Military Families':

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

Support Military Families