Membership Application

Types of Membership

Membership dues are $42.00 due every two years.

Life Memberships are $150.00

Make check payable to “AF Cyberspace and Air Traffic Controllers Association”

Click here to download registration form.

Membership Type *

• Renewal
• New Membership
• Lifetime Membership

Total

$0.00

Name *

First

Last

Street Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Email Address *

Phone Number

Date of Birth *

Spouse's Name

First

Last

Service Status

Do you wish to have a copy of the Communicator mailed to you (it is available on the web)? *

• Yes
• No

How were you recruited?

(Members name, magazine, website, etc)

Submit