RENEWAL Membership Form

Rank: *

Retired?

Retired

Name *

First

Last

if Other, please specify: *

Primary Email: *

Please do not use .mil for primary

Alternate Email (.mil):

Chapter: *

Membership Length: *

1 Year - $35
3 Year - $70
Lifetime - $270

Membership Length: (Discounted) *

1 Year - $25
3 Year - $50
Lifetime - $175

Membership Incentive Options- Lifetime (Select Item Image Below) *

1. $20 Off at SCRA Store
2. $20 Signal Museum Donation
3. Traditional Packet

Please choose which welcome gift you wish to receive as a new lifetime member. Options 1 and 2 will come with a DIGITAL Lifetime membership certificate.
-1. The Store Credit may be used on any purchase EXCLUDING awards. No minimum requirement. Shipping is always FREE.
-2. Museum donation will come from your membership dues at no additional cost to you.
-3. If selected, the traditional membership will be shipped to the address provided above. All items are available in the store.
Lifetime packet consists of a PRINTED certificate, SCRA color challenge coin, a Life Member lapel pin, a stylus pen, and either a window decal or cell phone wallet.

Customize Traditional Packet (select item image below)

Life Member Window Decal
Cell Phone Wallet

Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Total

$0.00

Stripe Credit Card *

Card

Name on Card