LTG Robert E. Gray Chapter Membership Drive

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if Other, please specify: *

Name *

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Last

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Primary Email: *

Alternate Email: (.mil)

Membership Length: *

1 Year - $30
3 Year - $60
Lifetime - $250

Membership Length: (Discounted) *

1 Year - $20
3 Year - $40
Lifetime - $155

Membership Incentive Options- 1 Year (Select Item Image Below)

$10 Signal Museum Donation
Traditional Packet ($5 Value)

Please choose which welcome gift you wish to receive as a new member.
-Museum donation will come from your membership dues at no additional cost to you.
-If selected, the traditional membership will be shipped to the Membership Drive POC at the end of the drive. 1 Year is the SCRA challenge coin. Item is also available in the store.
Please note: if you had a previous membership with the SCRA, you will not receive any of the above gifts. We will verify previous membership status after form has been submitted and reactivate your previous membership.

Membership Incentive Options- 3 Year (Select Item Image Below)

$10 Signal Museum Donation
Traditional Packet

Please choose which welcome gift you wish to receive as a new member.
-Museum donation will come from your membership dues at no additional cost to you.
-If selected, the traditional membership will be shipped to the Membership Drive POC. 3 Year is the SCRA challenge coin, a small lapel pin, and stylus pen. All items are available in the store.
Please note: if you had a previous membership with the SCRA, you will not receive any of the above gifts. We will verify previous membership status after form has been submitted and reactivate your previous membership.

Membership Incentive Options- Lifetime (Select Item Image Below)

$20 Signal Museum Donation
Traditional Packet

Please choose which welcome gift you wish to receive as a new member. -Museum donation will come from your membership dues at no additional cost to you.
-If selected, the traditional membership will be shipped to the Membership Drive POC.
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

Total

$0.00

Stripe Credit Card *

Card

Name on Card