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Member Registration
Account Information
E-Mail:
Must be a valid email address.
Login ID:
For access to Members Only resources.
Password:
Must have at least 8 characters. Space is not allowed.
Verify Password:
Contact Information
First Name:
Middle Name/Initial:
Last Name:
Suffix:
Nickname:
Address 1:
Address 2:
City:
State:
Use 2 character abbreviation.
ZIP Code:
Use 5 or 9 digit ZIP code.
Home Phone Number:
Use 999-999-9999 format.
Work Phone Number:
Cell Phone Number:
Blackhawks Information
Blackhawks Callsign:
Troop:
Select One:
HHT
A
B
C
D
Platoon:
Rank:
# of Vietnam Tours:
1
2
3
4
Dates of Vietnam Tours:
Service #:
Your birthdate:
Use yyyy-mm-dd format.
SSN (Optional):
First name of your wife/significant other:
Your relationship (i.e. wife):
Submit Registration