Create Member Account

Please fill out the below form to become a member.

Personal Information

First Name:*

Last Name:*

Phone:*

Email:*

Password:*
(Used to log into account. Must be at least 8 characters long and include 2 numbers but not start or end with a number)

Company/Organization:
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Address:*

Address 2:

City:* click here if shipping address is the same.

State:

Zip:*

Address:

Address 2:

City:

State:

Zip:

click here if you are or were a service member of the USS Delaware.

Current or previous members of the Board are given free or lifetime memberships.

Rank/Rate

Years aboard (from)

Years aboard (to)

Amount Pro-rated to this month: $2.08

Name on Card:*

Card Number:*

Expiration:*

Card ID Number:*