AUSA - New Company Member Application

Your membership must be submitted by using the button at the bottom of this form.

Step 2A - Add Your Designees

*As you add designees, they will appear below.
Choose:

Update Info to change information for or to remove a Designee.

To change the Company's Point of Contact, click on POC in the list below.

We recommend your Point of Contact be selected from your one of your Designees.

Non Designee POC: I'd prefer not to use a designee for my primary contact.

Step 2B - Donate Your Extra Designee Slots (Optional)

If your membership includes more designee slots than you need, you can donate them:

I wish to donate extra designees to my local chapter for awarding to a deserving soldier.

Designee Slots Usage

* Unused slots will remain available for later assignment.

You may choose to Print & Mail this if you do not wish to submit payment over the web.

Mail with payment to:
AUSA
PO Box 1560
Arlington, VA 22201-0860

Step 3 - Enter Payment Information

Total Amount Due:
*Credit Card Type:
*Name on Card:	(Enter exactly as it appears on your card)
*Card Number:
*Expiration Month/Year:	/