2023-2024 HSC Membership Application

Hanscom Spouses Club

Membership Application Form 2023-2024
Select one:

New MemberRenewal
Name*

First NameLast Name
E-mail*

Confirmation Email
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Your Spouse's Name

First NameLast Name
Is your spouse an Active Duty Service Member?*

YesNo
I am a(n)

Spouse of Retired Service MemberSpouse of Deceased Service MemberSpouse of U.S. Government Civil Service employee associated with Hanscom AFBActive Duty Service MemberRetired Service MemberU.S. Government Civil Service employee associated with Hanscom AFBOther
How are you affiliated with Hanscom AFB?
Spouse's Rank/Grade
Spouse's Branch of Service

US Air ForceUS ArmyUS NavyUS Coast GuardUS Marine CorpsUS Space ForceOther
(Optional) I am a(n)

Active Duty Service MemberRetired Service MemberVeteranNone of the above
My Rank/Grade
My Branch of Service

US Air ForceUS ArmyUS NavyUS Coast GuardUS Marine CorpsUS Space ForceOther
Publish my contact information in the HSC directory:

YesNo
Volunteer Opportunities (please check areas of interest and see the HSC website for more info)

Minuteman Thrift ShopScholarship FundraiserScholarship Awards CommitteePrograms (Events) TeamPublicity/Historian TeamHospitality TeamYankee Flyer NewsletterYouth ActivitiesCall for help as neededServe as Board member
Activity Groups (please check the HSC website for current groups)

AssociatesBook ClubCoffee BreakSpouses Night OutCreate Your Own Group
Annual Membership Dues

Please select the membership price below that corresponds to your or your spouse's rank/grade. Online payment is through PayPal with either a credit card or directly from your checking account. Membership will expire August 31, 2024. *Dues are prorated twice per year.
Please Select:
prevnext( X )
E1-E4 / GS1-GS4$12.00

E5-E6 / GS5-GS9 / Seniors (62+) or Widow(er)s$24.00

E7-E9 / O1-O2 / W1-W5 / GS10-GS11/DBIDS Cardholder residing on HAFB$36.00

O3-O9 / GS12-GS15+$48.00
Member Acknowledgement

By submitting this membership application and signing below, I affirm that I am eligible for membership in accordance with the HSC Bylaws and that copies of the HSC Bylaws, Constitution, and Policies have been made available to me on the HSC website at www.hanscomsc.org. I will abide by all HSC Governing Documents as a member of the organization.
Signature*
Enter Full Name
Date*

MonthDayYear
Date
Press submit to proceed to PayPal to pay with a credit card or directly from your checking account.
For more information please contact membership@hanscomsc.org
Should be Empty:

Hanscom Spouses Club

Annual Membership Dues

Member Acknowledgement

For more information please contact membership@hanscomsc.org