Gold Star Wives Dues Form

Please fill out and submit the form below. After you submit this form you will be directed to PayPal to pay your Membership Dues. Dues are $25 per year (Lifetime memberships are also available; cost based on age).

* Denotes Required Field

MEMBER

Dues Term: *

Annual

Lifetime

Your Name *

Care of

Address *

Address Continued

City *

State *

Zip *

Your E-mail *

Phone *

Cell Phone

Birth Date *

SPOUSE

Spouse's Name *

Branch of Service *

Date of Death *

Place of Death *

Cause of Death: *

Service
Connected

Active
Duty

VERIFICATION AND FORM SUBMITION

Enter the verification code found in above image. *

Gold Star Wives of America, Inc. is a non-profit 501(C)4 national military widows service organization chartered by the United States Congress.

Gold Star Wives of America, Inc. is a non-profit 501(C)4 national military widows service organization chartered by the United States Congress. Donations are not deductible as charitable contributions for federal income tax purposes but may be deductible as trade or business expenses.

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