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Application For Membership, Dues Payment & Information Change Form (To the Right)

Our Monthly Newsletter Sign Up Form (Below)

Complete MOAA_CFC_MemberForm_2021 or by online form (below) and pay by check or PayPal

MILITARY OFFICERS ASSOCIATION OF AMERICA - CENTRAL FLORIDA CHAPTER

Application For Membership, Dues Payment & Information Change Form

Enroll meAs a Regular MemberAs a Surviving Spouse Member

Change OnlyAddressInformation

First Name *

Middle Name

Last Name *

Spouse NameEnter Spouse Name (If Applicable)

Phone *

Rank *

Street Address

Apartment, suite, etcAdd’l Info (If Required)

City *

State/Province *Enter “FL” or “Florida”

ZIP / Postal Code *Enter 5 digit or 5 digit + four digit

Email Address *

Birth Date

Month

Day

Year

Name of Deceased Officer (If Applicable)

Check Appropriate Boxes

Member of National MOAA? *YesNo

If yes, Member Number

Status *Active DutyRetiredReserveMilitary Status

Service *ArmyNavyAir ForceMarine CorpCoast GuardUSPHSNOAAPlease select one Service

SignaturePlease type in your name if completing this form online

Date *

Month

Day

Year

Date Completing Form

Annual dues (payable January) are $20 for all memberships. New members joining after June pay one-half of annual dues for the remainder of the year. Make checks payable to and mail application to: MOAA CFC. Inc., P.O. Box 141025, Orlando, FL 32814-1025

If you would like to make an additional donation to support our ROTC/JROTC scholarship program, please include it with your membership dues, or send separately. This would be greatly appreciated!

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MOAA Central Florida Chapter

Contact Us

MOAA CFC, Inc.
P.O. Box 141025
Orlando, FL 32814-1025
ContactUs@moaacfc.org

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Specify Donation Type in Notes

“A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY
CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE”