Prefix/Rank: 1LT 1st Lt 1stLt 2LT 2d Lt 2nd Lt 2ndLt BG BGen Brig Gen CAPT CDR CH (LTC) CH (Lt Col) CH (MAJ) CH (CDR) CH (LCDR) CH (Lt Col) COL CPT CW02 CW03 CW04 CW05 CW2 CW3 CW4 CW5 CWO2 CWO3 CWO4 CWO5 Captain Colonel Commander Dr ENS GEN General Honorable LCDR LT LTC LTG LTJG Lt Col Lt Gen LtCol LtGen MAJ MG Maj Gen MajGen Major Miss Mr Mrs Ms Mx. RADM RDML SFC Senator VADM W-1 W-2 W-3 W-4 W-5 WO1 Last Name: First Name: Middle Name: Suffix: Email: Phone: Address: Address Line 2 City: State: 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 American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Zip: - Zip Suffix Service Army Marines Navy Air Force Coast Guard Space Force NOAA Public Health Service Surviving Spouse DoD Civil Service Spouse Honorary Associate Component Regular Reserve National Guard Other Duty Status Active Retired Former Surviving Spouse Other Birth Date(MM/DD/YYYY): / / MOAA National Member Number Not a MOAA national member or you are an inactive member? Captcha