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Chapter Recruiting Program

Please fill in with as much information as possible about your new chapter member.  Remember that they must be a MOAA National member and a new member of your chapter to be eligible for credit under the Chapter Recruiting program. 

*note* you can submit up to 5 new chapter members per submission. If you have more than 5 please use multiple submissions.

Chapter Name & Contact

New Chapter Member 1

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Does MOAA member have a spouse? *
Do you have an additional MOAA member to add? *

New Chapter Member 2

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Does MOAA member have a spouse? *
Do you have an additional MOAA Member to add? *

New Chapter Member 3

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Does MOAA member have a spouse? *
Do you have an additional MOAA Member to add? *

New Chapter Member 4

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Does MOAA member have a spouse? *
Do you have an additional MOAA Member to add? *

New Chapter Member 5

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Does MOAA member have a spouse? *
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1-800-234-6622
msc@moaa.org