RAC-MOAA FREE Trial Membership Application

Richmond Area Chapter
Military Officers Association of America
P. O. Box 72604
North Chesterfield, VA 23235-8017

Use the "TAB" key to move from box to box on the application
Click on "down" arrows to select from entry option lists
Based on your membership category, once you've filled out the form, click on "SUBMIT" (Category I or III)
or click on the "Print" icon (Category II only) of your web browser to print the form.

Are you a member of national MOAA? If "Yes," are you a "Life Member" of MOAA?

CATEGORY I:  If you are an active-duty officer, or a currently-serving officer of the National Guard or Reserves, you can join national MOAA for FREE for one year as a "BASIC" member (electronic communications only), simply by completing this application and e-mailing it to us by clicking on "SUBMIT" - we'll also give you FREE membership in the Richmond Area Chapter thru 2018. To become a BASIC member of MOAA, you must provide your e-mail address.

CATEGORY II:  If you are a retired or former officer or a surviving spouse of a deceased officer and NOT a member of national MOAA, you can join MOAA thru our chapter as a "PREMIUM" member at the following rates: $43.00 for officers; $40.00 for surviving spouses. To join national MOAA, please PRINT your completed application, enclose your check payable to "MOAA" for the appropriate amount and "MAIL IT TO US" along with your membership application - we'll take care of the rest!  Remember, your local chapter membership is FREE thru 2018.

CATEGORY III:  If you are currently a member of national MOAA, simply complete the application below, click on "SUBMIT," and we'll enroll you for a FREE membership in the Richmond Area Chapter of MOAA thru 2018.

RAC-MOAA membership category:
E-mail Address:
(E-mail address is a mandatory entry for Categories I and III)
Rank: Lastname: First: MI: Suffix:
Street Address:
City: State: Zipcode Plus 4:
Home Phone: Business Phone:
(Enter phone numbers with or without hyphens)
Branch of Service: Spouse Name:
(Auxiliary Members input First Name, Middle Initial, Rank & Service of deceased spouse)
MOAA Member Number: (MOAA members enter 8-digit member number)
Your Date of Birth: (MMM/DD/YYYY):
Service Dates: From: To: (Auxiliary Members leave blank)
Current service status:
Optional Interest Area:
Current Occupation: (If retired input "Retired")

  • In December 2018, we'll offer you the opportunity to continue as a "dues-paying" chapter member.
  • All new chapter members will receive an electronic "welcome letter" by e-mail (by "snail-mail" if no e-mail address is provided).
  • If you are also joining national MOAA, you will receive your MOAA membership card in the near future.

    Thanks for Joining RAC-MOAA