Membership Renewal Application

Please complete the following information to the best of your ability to renew your Strategic Air Command & Aerospace Museum Membership. A hard copy of this form can be found on the Museum's Membership page.

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
Address*
Street Address City State ZIP Code
Email*
Phone*
Cardholder's Name*
Choose your membership level:*
Military ID number
If you are a retired or active Military member, enter your ID number below
Teacher's School
If you are a teacher, enter the school where you teach below
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?
(Smithsonian Affiliate Membership is included with Gold and Silver Patron Membership.)
Choose Magazine:*
Would you like to make an additional donation the Museum?
Enter the amount below that you wish to donate or leave blank.
Total
$0.00
Note: Community Group memberships available for approved social serice organizations, please contact the membership office at 402-944-3100 for additional information.
Credit Card*

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