Spouse Registration Spouse Registration Prefix*Name* First Last Spouse's Name* Rank First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Postal Code Email* Your phone (Cell Preferred)Spouse's Membership Type*Active Life MemberRetired Life MemberAnnual MemberDon't knowAre you aware that there is an Active Life Member special going on right now?*YesNoNever heard of itNGAMS is currently offering a rebate to join as an Active Life Member. That means your spouses pays a reduced rate on a life membership and never has to pay annual dues again.Does your spouse and/or you and your family have the NGAMS Insurance?*Spouse OnlySpouse and DependentsNeither have itDon't knowThis is different from the SGLI Insurance. Have you attended the NGAMS State Conference?*Yes, we are regularsYes, but only a few times in the pastYes, this year for the first timeNo, never attendedWhat is the NGAMS State Conference?Have you attended the NGAUS National Conference?*Yes, we are regularsYes, but only a few times in the pastYes, this year for the first timeNo, never attendedWhat is the NGAUS National Conference?Are you aware of the NGAMS website, Facebook page and Twitter page?*website onlywebsite and Facebook onlywebsite and Twitter onlyFacebook and Twitter onlyFacebook onlyTwitter onlyYes, I know about all threeI have no idea about any of themAre you aware of the NGAMS Standard Magazine?*YesNoNever heard of itAre you aware that Active Life Members are eligible for the NGAMS Scholarship Fund?*YesNoNever heard of itCommentsThis field is for validation purposes and should be left unchanged.
