Annual Membership Application
To apply for membership please complete all questions. This membership level comes with one name tag. You can buy additional name tags in the usnamaryland.com store.
What can we help you with today?
*
I want to join the club or renew my annual membership.
I want to renew my annual membership and upgrade to a lifetime membership.
Number of guests, including plebe, attending picnic
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Name #1 (Enter as you would like printed on your name tag)
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If you're a USNA Alum, please list your year
E-mail #1
*
example@example.com
Phone Number #1
Format: (000) 000-0000.
Name #2
First Name
Last Name
Address #2 (just write same if same as Name #1)
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
If you're a USNA alum, please list your year
Email #2
example@example.com
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Midshipman/Alumni Information
Midshipman's Name
First Name
Last Name
Hometown and High School
USNA Class
Company
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Academy PO BOX
Birth Date
-
Month
-
Day
Year
Date
Major
Athletic Team(s)
Other activities
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Welcome Aboard Picnic Registration
Plebe Information
Name
First Name
Last Name
Hometown and High School
Cell phone
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Parent Information
Name #1
First Name
Last Name
Address #1
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell phone #1
Please enter a valid phone number.
Format: (000) 000-0000.
Email #1
example@example.com
Name #2
First Name
Last Name
Address #2 (Leave blank if same as above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone #2
Please enter a valid phone number.
Format: (000) 000-0000.
Email #2
example@example.com
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Submit
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