First Name
Last Name
Street
City
State
Zip
Phone
e-mail

The foundation has three classes of membership. Please indicate which class you are in.
Membership Class
Class 1 Alaska resident veteran

Class 1 resident serving military (Includes: Active Duty, Reserve, Guard)

Class 2 Alaska resident family member of veteran/military
( Must be within one degree of consanguinity to veteran/military.
Specify Spouse, Widow, Widower, Parent, Child, Brother, Sister)

Class 3 Associate
Alaska resident who is NOT a veteran or military or family member, but chooses to become affiliated with us.

Notes Optional field