RAD (Credit Card - Cy) Registrations
Important: Online registration requires online payment your credit card.
Registration Fee: $
Important: Online registration requires online payment with your credit card. (Fee is per individual person)
Your 1st RAD?
*
Yes
No
Service retired from:
*
Please Select
AF
ANG
ARMY
CG
MC
NAVY
NG
Pay Grade at retirement
*
Please Select
E1
E2
E3
E4
E5
E6
E7
E8
E9
W1
W2
W3
W4
W5
O1
O2
O3
O4
O5
O6
O7
O8
O9
Your Phone Number?
*
Email
*
Confirmation Email
example@example.com
Registering these for the RAD:
*
Military Retiree
Spouse of Retiree
Guest of Retiree
Widow of a Military Retiree
Retiree
First Name
Last Name
Spouse
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guest
First Name
Last Name
Widow
First Name
Last Name
Number of Vegetarian Lunches?
Enter the number requesting above, if any.
Amount $
Total dollar amount for your requested RAD registration(s).
Status:
Please Select
Under Payment
Paid in Full
Over Payment
Credit Card
Payment Amount
*
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USD
Description
Credit Card
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
Expiration Year
Submit
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