2025 MEMBERSHIP FORM

Please fill out this form as accurately as possible. After submission, you will be directed to a new page to select your membership type and payment. You will be asked to re-provide information for billing.

You may also download and print this form by >clicking here< and send your form in via mail with check or cash payment.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

Would you prefer to receive League materials by email?

Yes

No

Rank/Rate, Name, Service, & Country of Loss of Missing Man

Relationship to Missing Man (wife, parent, child, niece/nephew, if applicable)

Additional Member Names if multiple memberships