image
home   contact   site map

Membership Registration

Would you like to become a member of ProtectThe2nd.US? 

For only $15.00 you will receive information about upcoming events, special interests, and discounts at local retailers.  Currently we do not offer a family membership.

A portion of your donation will be used towards Families of Fallen Officers and Military Care Packages.

You will also be put onto our mailing list.  Your information will never be sold. 

Simply complete this form and when you hit submit, it will take you to a secured PayPal cart (you do not need PayPal in order to submit payment, you may use any major Credit Card). 

NOTE:  If you'd like to send us a check, please do no complete this page, simply click here to download and print the membership application (pdf).  US Postal Mail instructions are on the printed application.


Required items are marked in red.

I want to join ProtectThe2nd.US:  Yes No
I want an email confirmation:  Yes No
   
Your Name
   
 Phone (No Dashes - Numbers only - ex. 6105551212)
E-Mail
Home Work
   
Street Address
Address (cont.)
City
State
Zip code
   
   
How did you hear about our?  (check all that apply)
Colleague / Friend Told Me  
ProtectThe2nd.US Website  
Another Website or Search Engine

Anything else you'd like to tell us?


IMPORTANT:  After you click Submit Membership Registration, you will be directed to a new page to finish payment via PayPal. 

You are not considered a member until you complete the PayPal payment.

NOTE If you do NOT get the confirmation screen after pressing submit, please try again!

 

pointer top of page





Pennsylvania State Flag
ProtectThe2nd.US  
Gadsden Flag