Please select the appropriate application type:
| NEW Membership |
| | RENEWAL Membership |
| Commissioned officers, please indicate current grade and previously held enlisted rank, e.g., Col - SSgt |
|
| Rank: | |
| Select Branch of Service: | |
Service Category (Select All that apply):
To select multiple categories, hold down the Control
key while making your choices.
| |
| First Name: | |
| Last Name: | |
| Home Address: | |
| City: | |
| State: | |
| Country: | |
| Zip Code/Country Code: | |
| Military Unit Name: | |
| Military Unit Address: | |
| Military Unit City: | |
| Military Unit State: | |
| Military Unit Country | |
| Military Unit Zip Code/Country Code: | |
| Daytime Phone: | |
| Evening Phone: | |
| Date of Birth: | |
| Email Address (to receive REA news): | |
Choose membership type and duration
|
|
One Year Regular Membership
| E1-E3 / $20 |
| | E4-E6 / $30) |
| | E7-E9 / $40) |
Three Year Regular Membership
| E1-E3 / $50 |
| | E4-E6 /$75 |
| | E7-E9 / $100 |
| Five Year Regular Membership | E1-E3 / $80 |
| E4-E6 / $120 |
| | E7-E9 / $160 |
Associate Membership
| Associate 1 year / $40 |
| | Associate 5 year / $160 |
| | Associate 3 year / $100 |
| Credit Card Type (VISA, MasterCard, AMEX): | |
| Card Number: | |
| 3-digit Control Number (back of card): | |
| Expiration Date: | |
|
