The Broward County Chapter of the Military Officers Association of America


YES! I would like more information on ordering a MOAA name badge(s).

BCC MOAA MEMBERSHIP APPLICATION
/CHANGE of ADDRESS FORM

Select one: New Chapter Member
New Auxiliary Chapter Member
Change of Address

First Name:
Middle Initial:
Last Name:
Spouse's Name:
Street Address
Apt#/Suite#/Box#:
City
State
Zip Code -
Country
Email
Home Phone
(999) 999-9999
SSN - -
Date of Birth
(ex. day/month/year 11-08-1935)
,
MOAA Nat'l #:
MOAA/TROA Member since :
Service:
Rank/Title:
Status
Gender Male, Female
   
Permission to list my name? (please check each as applicable)
The BCC MOAA Chapter Directory
The BCC MOAA Web Page
BCC MOAA Press Releases
 
Why are you joining BCC MOAA? (please check all that apply)
A friend is a member
To participate in chapter programs
To retain my military affiliation
To support MOAA's legislative efforts
To receive The Officers’ Call
Monthly Program Speakers
 
Would you be willing to assist in the operation of BCC MOAA? If so, what would be your main area of interest?
Legislative Affairs
Public Relations
Membership
Scholarship & Award
Personal Affairs
Legal Counsel
Newsletter
Chaplain
Finance
Programs (Speakers)
Meeting Setup
Activities
Data Processing

For membership, Please enclose a check of $25 annual dues for applicant and wife and mail to:

MOAA Broward County Chapter PO Box 8552
Deerfield Beach, FL
333443-8552
or
e-mail to LtCol Radoy raeradoy@webtv.net



home | purpose | history | links | officers | contact us
© Copyright 2003 machiela web development services