Membership Application (Credit Card) If you are human, leave this field blank. Council on America’s Military Past Membership Application and Renewal Form Welcome! Please fill out the information and mail it with your payment to the Membership Secretary at the address below. NOTE: Effective November 2017, the Journal of America’s Military Past and the Headquarters Heliogram are distributed electronically. Hard copies are available for no additional charge or for an additional $10/year, depending on your membership class. Be sure to mark your preference below. Yes, I am interested in preserving, interpreting and sharing America’s military heritage and wish to join others who share my interest. My payment of $ * Year(s) at the membership class indicated: * Note: For two or more years’ membership, subtract 10%. You will be billed annually the additional charge if you prefer hard copies of the publications. Application Type * Membership Renewal Name (include military rank, if appropriate) * Organization (if corporate or an agency) Street Address * City/State/Zip+4 * Phone Number * Email Address * Place and Date of Birth Spouse Name Education Background Military Background Current Occupation/Interest Past Occupations/Interest Name of Current CAMP Member, if known Awards/Publications/Projects Membership Classes Patron Patron $250 Electronic Pubs Hard copy pubs (no extra charge) Sustaining Sustaining $100 Electronic Pubs Hard copy pubs (no extra charge) Contributing Contributing $60 Electronic Pubs Hard copy pubs (no extra charge) Individual Individual $40 Electronic Pubs Hard copy pubs + $10 Corporate Prepaid Corporate $50 (if prepaid) Electronic Pubs Hard copy pubs + $10 Corporate Invoiced Corporate $60 (if to be billed) Electronic Pubs Hard copy pubs + $10 Foreign Address Add $10 Postage to Chosen Class (Except APO, FPO, DPO) Family Member Family Member $10 added to other household membership class (no pubs) Credit Card Information Name on Credit Card Credit Card Type Mastercard Visa Card Number Expiration Date Submit
