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Pikes Peak Chapter Membership Drive
Pikes Peak Chapter Membership Drive
Morgan Wieckowski
2025-03-22T14:56:40-04:00
This form may be used for new and renewing members.
Please enable JavaScript in your browser to complete this form.
Rank:
*
Please Select
PVT
PFC
SPC
CPL
SGT
SSG
SFC
MSG
1SG
SGM
CSM
2LT
1LT
CPT
MAJ
LTC
COL
BG
MG
LTG
GEN
WO1
CW2
CW3
CW4
CW5
GS1
GS2
GS3
GS4
GS5
GS6
GS7
GS8
GS9
GS10
GS11
GS12
GS13
GS14
GS15
Dr.
Mr.
Mrs.
Ms.
Other
if Other, please specify:
*
Name
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First
Last
MI
Suffix
Chapter
*
Pikes Peak - Fort Carson, CO
Primary Email:
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Alternate Email: (.mil)
Username:
*
Password:
*
Password
Confirm Password
Membership Length:
*
1 Year - $30
3 Year - $60
Lifetime - $250
Membership Length: (Discounted)
*
1 Year - $20
3 Year - $40
Lifetime - $150
Please donate a portion of my membership fee to the Signal/Cyber Museum
Yes
No
The traditional membership packet is not available for this membership drive.
If you want a membership welcome packet, please go back to the site home page and fill out the standard "Membership Application".
Total
$0.00
Stripe Credit Card
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