New Member Intake Form

Basic Information

*Payment is required to complete membership unless you qualify for a Complimentary Membership (Newly Commissioned)

If you are not directed to the payment page, then your membership is not complete.

Please try using a personal computer and not your cell phone or government device.

If you need assistance, please email nicole@ngaky.org.

Prefix:

First Name:

Middle Name:

Last Name:

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Gender:

Duty Status:

Unit:

Rank:

Pay Grade:

Branch:

Civilian Email: (NOT .mil)

Phone:

Address:

City:

State:

ZIP: