Application for Membership and Renewal

Membership Application

Fields marked * are required

Membership Options

Annual Membership	Lifetime Membership
Individual Member: $12.00	Individual Member: $150.00
Household of 2: $20.00	Household of 2: $175.00
Household of 3 or more: $24.00	Household of 3 or more: $200.00

You may pay your membership fee online using PayPal or you can send a check. Note that you do not need a PayPal account to pay with credit or debit card.

Select type of membership *

Is this a new application or a renewal? *

New Membership

Renewal

Family members are defined as those Individuals residing at the same address. Family members will receive individual membership documents, and share a single copy of the SFC Hardcopy Newsletter.

Details: Individual Member or Head of Household

Name *

First

Last *

Last

Email *

Renewing members may skip to the payment section unless any information has changed from last time.

Address 1 *

Address 1

Address 2

City *

City

State/Province *

State/Province

Zip/Postal Code *

Zip/Postal Code

Country *

Country

Phone

Other Phone

Date of Birth *

This information will be held confidential

Date of Birth

This information will be held confidential

Career Field

Choose a field to begin your Starfleet Command career

Ship Name (if known)

Household Members

Details: Additional Household Members

Name

Date of Birth

Career Field

Household 3 or more

Name

Date of Birth

Career Field

Name

Date of Birth

Career Field

Name

Date of Birth

Career Field

Everyone

Membership Details

Your Starfleet Command newsletter will be emailed to you. Do you also want it mailed to you?

Yes

New members only

Who recruited you?

How did you hear about us?

If other, please explain

Everyone

Would you like to subscribe to the Fleet-wide email distribution list (low traffic)?

Yes

Would you like to subscribe to your local Starbase (region) distribution list (low traffic)?

Yes

Do you want information on starting your own unit?

Yes

Payment

You may pay your membership fee online using PayPal or you can send a check. Note that you do not need a PayPal account to pay with credit or debit card -- look for a link to Pay with Debit or Credit Card.

How do you wish to pay the membership fee? *

PayPal|Credit Card|Debit Card

Check

Thank you! Please make your check or money order payable to Starfleet Command, and send it to
Starfleet Command
PO Box 348
Anderson, IN 46015

Click the Submit button to email your application to us.

Thank you! When you click the Submit button you will be transferred to our PayPal page where you can complete your payment. Afterwards you will be returned to this site.