Membership Checkout Membership Information You have selected the ENLISTED LIFE MEMBERSHIP membership level. The price for membership is $200.00 now. Account Information Username Password Show Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here More Information First Name Middle Name Last Name Gender Male Female Secondary Email Street Address 1 Street Address 2 City State Zip Cell Phone Date of Birth MM/DD/YYYY Spouse Name Branch ARNG ANG Civilian Rank PVT PV2 PFC SPC CPL SGT SSG SFC MSG 1SG SGM CSM SMA AB Amn A1C SrA SSgt TSgt MSgt SMSgt CMSgt CMSAF 2LT 1LT CPT MAJ LTC COL BG MG LTG GEN WO1 CW2 CW3 CW4 CW5 2nd Lt 1st Lt Capt Maj Lt Col Col Maj Gen Brig Gen Lt Gen Gen Civilian Unit 101st AMXS 101st ARW - Wing Agencies 101st CES 101st CF 101st FSS 101st LRS 101st MDG 101st MOF 101st MSG 101st MXS 101st OSF 101st SFS 132nd ARS 243rd EIS 265th CBCS JFHQ-ME ANG Retirees Separated Unassigned Military Status AGR TRADITIONAL TECHNICIAN RETIREE CIVILIAN Receive New Patriot Magazine By Postal Mail No Yes Receive SMS Messages Yes No Receive E-mail Yes No Date of Enlistment Are You A Veteran? No Yes Referred By Check to Use the Values Above for Billing Processing...
