Please print-out this form, complete, and
return with your remittance to the address at the bottom of the form.
Please call/email us, if you have any questions regarding this
application. Thank You !!
__________________________________________________________________________________________
(Rank/Full
Name)
(DOB: Day/Mo/Yr)
_______________________________________________________________________________________________________________________
(Mailing
Address, with Apartment or Lot Number)
________________________________________________________________________________________________________________________
(City,
State, ZIP)
Home Phone:
(_____)_____________________________________
Business Phone: (_____)___________________________________
Email:__________________________________________________
FAX:
(_____)___________________________________________
Military Service Branch (circle one): USA, USN, USMC, USAF, USCG,
USPHS, NOAA
Military Status (circle one): Active
Duty, Retired, Former, Reserve, National Guard
Dates of Service
_________________________________________
(From
Year - To Year)
Hereditary Membership
eligibility is based on relationship with:________________________________
Spouse’s First
Name:_____________________________________
___$250
Regular Perpetual * ($250)
___$62.50 Installment
___$30 Hereditary Annual
___$250 Hereditary
Perpetual* (21 and Older)
___$62.50 Installment
___$30 Former Member
___$200 Hereditary
Perpetual* (20 and Younger) ___$50.00
Installment ___$30 Regular
Annual
___$200 Memorial Perpetual (Must be paid in
full
___
Local Chapter Dues $ __________
at the time of application)
$15.00 of the
national dues is applied to a subscription to Officer Review
magazine.
*
Perpetual memberships are a one-time cost and may be paid in four quarterly
installments as listed above
Applicant’s
Signature
__________________________________________________________
Date
_____________________________
Sponsor’s Rank/Name (if applicable) ______________________________________________
Sponsoring Chapter (if applicable)
________________________________________________
Mailing Address: The Military Order
of the World Wars, 435 N. Lee Street Alexandria, VA 22314
Toll Free
1-877-320-3774, FAX (703) 683-4501, Email: moww@comcast.net
Rev. July 5,
2004