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Prospective Member First name:

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Prospective Member Last name:

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Prospective Member Email:

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Prospective Member Phone Number:

Street address:

City:

State / Region:

Postal Code:

Parent or Legal Guardian Name (First Last):

Parent Email:

Parent Phone:

Membership Type:

The most common are cadet and active members.

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Cadet (youth age 12-18)

Adult (age 18+)

Cadet Sponsor (parent/guardian)

Patron (inactive supporter)

Aerospace Education (educator/teacher)

How did you first hear about Civil Air Patrol?:

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What aspect of Civil Air Patrol are you most interested in?:

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Did a CAP member recruit you?:

Enter the Member's CAP ID

Comments:

South Carolina Wing