2023 CCVMM Membership Enrollment - Central Coast Veterans Memorial Museum

Renew or Join CCVMM's 2023 Membership Program by completing the form below.

"*" indicates required fields

Step 1 of 2

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Are you a Veteran?*

Yes

Branch & Years Served*

Membership Option*

If gifting/purchasing more than one membership, submit a new form for each.

Individual Membership (annual) $40

Gift Membership (annual) $40

Lifetime Membership (one-time) $500

Gift Recipient's Name*

First Last

Gift Recipient's Email*

Gift Recipient's Phone*

Gift Recipient's Address*

Street Address Address Line 2 City State ZIP Code

Total

Comments

Payment*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.

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