Membership Follow Up Form - Pearl Harbor Aviation Museum

Mahalo for Becoming a Member

If you have not already done so, we encourage you to complete the details of your membership through our follow-up Membership form so we can better serve you and stay connected.

It is important that you use this form to provide us your mailing address - this is where we will mail your Member welcome packet shortly.

Section 1

Primary Member Information

Title

(ie. Mr. / Mrs. / Dr. / Military Title / other)

First Name*

Last Name*

Suffix

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Email*

Phone*

Gender

Date of Birth

Section 2

Optional: Spouse Information for Joint Membership (or any adult over the age of 18)

Joint Member Title

(ie. Mr. / Mrs. / Dr. / Military Title / other)

Joint Member First Name

Joint Member Last Name

Joint Member Suffix

Join Member Contact Email

Relationship to Primary Member

Joint Member Gender

Joint Member Date of Birth

Section 3

Optional: Membership Privileges for Children (up to four under the age of 18)

Name of Child 1

Gender of Child 1

Date of Birth of Child 1

Name of Child 2

Gender of Child 2

Date of Birth of Child 2

Name of Child 3

Gender of Child 3

Date of Birth of Child 3

Name of Child 4

Gender of Child 4

Date of Birth of Child 4

Section 4

Communication Preferences

Please check one of the following:

I would like to receive Membership renewal reminders via email only.
I would like to receive Membership renewal reminders via paper mail and email.

Section 5

Additional Information (Military Rank, Decorations, Interests, Alma Mater, etc.)

Additional Information

Feel free to share additional information about yourself that you would like us to know.

I would like to join in honor of:

Branch of Military Service

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