Membership Application - Use this application Form

Click below to register online:
Online Membership Application for the Military Veterans Chapter.

Renew membership online (Renewals ONLY) via PayPal:


If registering by mail, print and fill out the form below.

New ($15.00)_____ Renew ($10.00)_____ Reinstate($10.00)_____
Amount Paid $_______Cash______ Check #________  Date__________
Referred by:___________________________________#F____________

Make check payable to: Military Veterans Chapter, FMCA

Please mail your check or money order to:
Tom Braum, Treasurer 
3916 N. Potsdam Ave. PMB 1550 
Sioux Falls, SD 57104

If you used PayPal to pay your dues, please add your email address and indicate PayPal as your method of payment.

PayPal email: _________________________________________

(FMCA #)        Last Name                        First Name                         MI                                   Spouse
Street Address

City and State                                                                                                               Zip + 4
Phone:                                                         Cell(1)                                         Cell(2):

E-Mail Address (please keep your address current with (us)

I certify by my signature below, that I am on Active Duty with or was Honorably Discharged from the United States or Canadian Armed Forces or National Guard.

(signature) _____________________________________________________________________
MEMBERSHIP DUES YEAR IS January 1st to December 31st.
We do not pro-rate dues.

Please include a copy of your FMCA membership card.
Please put your FMCA# on the bottom of your check.

We can only keep one address in our files at a time. If necessary, send us a change
of address when you change your permanent address.
To print this form right click on the form with your mouse and select print. Then you can print, fill out the application and mail it to Tom Braum, Treasurer. The address is on the form. Make check payable to MVC-FMCA.

 You must have served in some branch of the service to be a member of the MVC.

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