Online Membership Form Please fill out the membership form below and submit it. Fields with * are required. If you receive an error after submission, please check that all fields with * are filled in or contact email@example.com. Application Information Your First Name* Your Last Name* Your Email* Your Phone Number* (XXX) XXX-XXXX Join or renew?* JoinRenew Your Military Information Are you yourself a member of the military?* (Your spouse military information can be entered later.) NoYes Your Military Status ---ActiveRetired Your Military Branch ---ArmyNavyAir ForceMarine CorpsCoast GuardPublic Health ServiceOther Your Pay Grade ---O-1O-2O-3O-4O-5O-6O-7O-8O-9O-10 Spouse/Partner Information Please provide the following information about your spouse or partner. Spouse First Name* Spouse Last Name* Spouse Military Status* ActiveRetiredCivilian Spouse Military Branch* ArmyNavyAir ForceMarine CorpsCoast GuardPublic Health ServiceOther Spouse Pay Grade ---O-1O-2O-3O-4O-5O-6O-7O-8O-9O-10 Spouse Duty Station* WRNMMCUSUHSBUMEDFort BelvoirOther (If 'Other', please specify) Spouse Department* Examples: "GME", "OB/GYN", "Navy Marine Corps Public Health Center", etc. Spouse Job Title/Area of Responsibility* Examples: "Student (please indicate year)", "Intern", "Resident", "Attending", "Base Command" Additional Information Home Address* Home Address Line 2 City* State* Zip* Interests PlaydatesBook ClubBooks4KidsFisher HouseDeployment SupportUSU Student SpouseOther Other interests The Oakleaf Membership directory is shared electronically with Members Only and is also available in print for an additional fee. The directory is for social use by members only as an easy way to connect with and support one another. It is not used for solicitation of any kind. If you would like all information included in the directory, please do not select any boxes. If desired, please select which information to exclude from the directory. Your NameYour EmailPhone NumberSpouse NameYour Military BranchYour Status (Civ, Active, Ret)Your Duty StationYour DepartmentSpouse Military BranchSpouse StatusSpouse Duty StationSpouse DepartmentSpouse Job TitleHome Address Complete the application One Last Thing… *Please let us know who connected you to Oakleaf or how you heard about us (name of member, website, Facebook, etc) If you are new to Oakleaf and to the area, we will follow up with a phone call or email so we can connect you with groups you are interested in. When you click Submit, you will be automatically redirected to our payment page. Our membership chair will reach out through email to confirm your membership.