Membership Application Form

Please complete the following information to the best of your ability to register for a Strategic Air Command & Aerospace Museum Membership. There are gift options available. A hard copy of this form can be found on the Museum's Membership page.

Is this Membership a gift?*
- Yes
- No
Gift Delivery Options*
- Send to recipient
- Send to billing address
NAME #1 on MEMBERSHIP:
Title:*
Military Status (If Applicable)
First Name*
Middle Initial
Last Name*
Suffix
NAME #2 on MEMBERSHIP (if applicable)
Title
First Name
Middle Initial
Last Name
Suffix
Recipient's Address
Street Address City State ZIP Code
Recipient's Phone
Recipient's Email

E-mail address will not be shared.
Credit Cardholder's Name*
Credit Cardholder's Address*
Street Address City State ZIP Code
Credit Cardholder's Email*
Credit Cardholder's Phone*
Choose your membership level:*
Name of the school you work at:
Military ID Number
Add-on One Adult to your Membership for $20.00?
Name of Add-on Adult
First Last
Add a Smithsonian Affiliate Membership for $20.00?
- Yes, I would like to add a Smithsonian Affiliate Membership
- No, I would not like to add a Smithsonian Affiliate Membership
Choose Magazine:*
Total
$0.00
Note: Community Group memberships available for approved social service organizations, please contact the membership office at 402-944-3100 ext. 213 for additional information.
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

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