Membership Application Membership Application Form Name First Last Date of Birth MM slash DD slash YYYY Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneFaxEmail Have you ever been an MI member? Yes No Regular Individual Membership (One Magazine) 1 Year ($35.00) 2 Year ($65.00) 3 Year ($95.00) Regular Junior Membership (One Magazine) 1 Year $20.00 (Must be under the age of 18) Family Membership (One Magazine) 1 Year ($47.50) 2 Year ($90.00) 3 Year ($132.50) Family MembersName:Date of Birth: (Please click the plus sign to the right of the Date of Birth field to add more family members)Regular 1 year military membership Must use APO/Military Installation Address ($30.00) Total $0.00 Δ
