emailhogs

MEMBERSHIP & EMAIL ACCOUNT REQUEST FORM

For 396th Medical Company (GA) members on the OIF 2006-2008 battle roster only (verification required).
Otherwise please refer to the "Associate Membership" link.

Name: Last, First, Middle Initial and LAST 3 Digits of SSN (I.E. - Smith, Jane W. 123)

OUR PROMISE:
396WARTHOGS.ORG will not, under any circumstances sell, rent, or lease our contact data or lists to third parties, and we will not provide your personal information to any third-party individual, government agency, or company. We are committed to keeping your e-mail address and data confidential. The information gathered on this form is for identification purposes only to establish your membership account over a secure connection.

Your Current Email Address:

*This is where you wish to receive your new 396warthogs.org email account setup instructions.

Confirm Your Current Email Address:

What would you like your Warthog user ID to be? (I.E. yourchoice@396warthogs.org)

Your User ID can be whatever you would like it to be. Keep in mind that you will be notified by email if the user ID you have chosen (including your alternate choice) is already in use.

Confirm your user ID choice: (identical to above choice)

Provide at least one (or more) alternate user ID's in this field just in case your first choice is already in use.

You may also submit any other comments here as well. Thank you for your membership submission! GO UGLY FIRST