Membership application

LORD’S ARMY MILITARY CLUB CLUB APPLICATION
Please fill out completely and email or turn in to the cadet staff.
Any untruthful answers will result in membership termination.

I Agree

* Name (Last, First M.)

* email([email protected])

Phone Number [(000)000-0000]

* Address 1 :

Address 2 :

* City :

* State :

* Zip :

* Please drag and rank(1^st to 3^rd) the following in order of interest(so we can give you a better experience in The Lord's Army Military Club):

	Drag your choices here to rank them
Military Pastoral Theology Missionary work

* What is your date of birth?

Month	Day	Year

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