Household Information

Username (up to 50 chars) *

Password (up to 50 chars) *

Re-Type Password to Confirm

***MUST UPDATE ACCOUNT INFO UPON TRANSFER TO NEW COMMAND***

Last Name *

First Name *

Birthday *

Sex *

Cell Phone

Personal Email Address *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Military Status *

Military Branch *

Military Grade/Rank *

Rate/MOS

Current Region *

Current Installation/Base *

Command Name *

Military Email *

Work Phone # *

***MUST ADD SPOUSAL INFO BEFORE APPLYING TO ANY MARRIAGE OR FAMILY RETREAT***

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