AAFMAA - Introductory Membership Program

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Introductory Membership Program

Information Request Form

To request information about joining AAFMAA under the FREE cadet Introductory Membership Program, fill out the following form and choose "Send Request" at the bottom of the form.

1. Personal Information

First Name:

Last Name:

Street Address:

Street Address 2:

City:

State:

Zip:

Daytime Phone:

(ex: (123) 456-7890)

Alternative Phone:

(ex: (123) 456-7890)

E-Mail:

Date of Birth:

Gender:

2. Additional Information

Have you used nicotine products in the last 12 months?

Affiliation:

College/University:

Expected Date of Graduation:

How did you hear about AAFMAA's FREE cadet Introductory Membership Program?

Please include any other comments below.

If you have any other questions, comments, or changes, please e-mail them to membership@aafmaa.com.

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