Annual Chapter Dues, Payable 1 January — $25.00 for 1st Year Regular Member ($5.00 for 2 nametags)

— Free for Auxiliary Member

Dues received after September 30 will be applied to the following year. — Subsequent Regular Member Annual Dues are $20.00

New Chapter Members without previous MOAA National Membership, get first year National Membership Free.

Mail Check and Application to:

Jayhawk Chapter, MOAA

_______________________________      c/o John W. Halladay, Secretary                _________________________

Signature                                                         2403 Manchester Road                                                                 Date

Lawrence, KS 66049-1646
Text Box: Membership Application Jayhawk Chapter—Military Officer’s Association of America Text Box: Enroll me as a new Regular Member Text Box: Enroll me as a new Auxiliary Member Text Box: PLEASE PRINT (See * below for surviving spouse) __________________________________________________________________________________________ Last Name First Middle Rank Name of Spouse __________________________________________________________________________________________ Street Address Apt# Phone E-Mail Address __________________________________________________________________________________________ City State Zip + 4 Birthdate __________________________________________________________________________________________ *Name of Deceased Officer Rank PLEASE CHECK APPROPRIATE BOXES: □ Male □ Female Member of National MOAA? □ Yes □ No If Yes, your member number ____________________ □ Active Officer □ Retired Officer □ Former Officer □ Army □ USA (Regular) □ AUS (Reserve or Nat’l Guard) □ Navy □ USN (Regular) □ USNR (Reserve) □ Air Force □ USAF (Regular) □ USAFR (Reserve or Nat’l Guard) □ Marine Corps □ USMC (Regular) □ USMCR (Reserve) □ Coast Guard □ USCG (Regular) □ USCGR (Reserve or Nat’l Guard) □ Public Health Service □ National Oceanic and Atmospheric Administration Text Box: Who is MOAA? The Military Officers Association of America, an independent, nonprofit organization, is operated exclusively to benefit members of the uniformed services—active duty, former and retired, National Guard and Reserve—and their families and survivors. MOAA is dedicated to preserving their earned entitlements and to maintaining a strong national defense. Six out of 10 retired officers belong to MOAA, as do more than 30,000 active duty officers. Who is eligible to join? Membership is open to active duty, retired, National Guard, reserve, former commissioned officers and warrant officers of the following uniformed services: Army, Marine Corps, Navy, Air Force, Coast Guard, Public Health Service, and National Oceanic and Atmospheric Administration. Auxiliary memberships also are available for surviving spouses of deceased officers. Who is Eligible to Join? Men and women who are or have been commissioned or warrant officers of the uniformed services (Army, Navy, Air Force, Marine Corps, Coast Guard, National Oceanic and Atmospheric Administration and Public Health Service) or the Reserve Components of the services eligible. Auxiliary memberships are available for spouses of deceased officers. Jayhawk Chapter The Jayhawk Chapter was organized in 1990 and affiliated with the national office of MOAA that same year. Today, more than 100 members in East Central Kansas belong to the chapter. Kansas Council of Chapters The Kansas Council of Chapters was organized in 1974 and allows MOAA chapters in Lawrence, Leavenworth, Manhattan, Overland Park, Salina, Topeka and Wichita to coordinate their efforts in the pursuit of common MOAA objectives. Return to Chapter Home Page