Mava Membership Form

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Mava Membership Form

Become a member of MAVA National

Please fill out the membership form below to start the process of becoming a MAVA National member. A MAVA administrator will follow up with you upon receiving your application request.

To download the membership form PDF Click Here

For additional information contact (919)612-0983 or Email Us

First Name (required)

Last Name (required)

Middle Name

Current Address (required)

City (required)

State (required)

Zip Code (required)

Your Email (required)

Preferred Phone Number (required)

Branch of Service

Branch of Service (required)

Years of Tenure (ex: 1972-1976)

Highest Rank Held(required)

Type of discharge (required)

Name used if other than above

Do you have any medical concerns MAVA should know about? Briefly explain:

Membership and Affiliations

Are you a member of a MAVA Post?
YesNo

If Yes, Post number or Name of Post:

Area(s) of Interest:

Are you a business owner?
YesNo

If Yes, Name & type:

Level of Membership*

MAVA Lifetime Membership fee is $300.00. This can be paid in a lump sum or a $50.00 initial payment with 10
consecutive payments of $25.00. Regular membership is an annual one-time $50.00 payment.

Lifetime Member (Full payment )Lifetime Member (installment)Regular Member

*Don't send your payment until contacted by a MAVA National Administrator