MEMBERSHIP INFORMATION REQUEST

Please:
EMail Information
Contact Me by Phone

Name:

EMail Address:

Home Phone:


Membership Category:
Cadet (Under Age 18)
Senior

Nearest City:


U. S. Citizen?
Yes
No


Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: GROUP 2 WEBMASTER

Membership in Civil Air Patrol is available to United States citizens
who are 12 years of age and over.



Last Modified: 12/28/1999