Test Form

Become a member or renew membership today. (Check One)
Group, NonProfit or Company Name, if applicable
Name
If membership is a gift, name of recipient
Name Last
If membership is a gift, what message do you want W3R-US to send?
Your Name*
First Last
Phone Number*
Mobile
Email Address*
I am also a member of this related "Revolutionary" organization (DAR, SAR, etc.)
I would also like to explore volunteer opportunities. Best time to call is:
Please specify AM/PM
Billing Address*
Street Address Address Line 2 City State ZIP Code
- Use different shipping address
Shipping Address
Street Address Address Line 2 City State ZIP Code
Payment Amount*
Total
$0.00
Payment Method
To pay with Credit Card or Venmo please select PayPal Checkout.

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Use the Paypal button below to check out with a Credit Card, Venmo or Paypal Account. Memberships renew in January of each year. Join now and enjoy membership until December 31, 2023.

Send your check made payable to W3R-US to:

W3R-US
P.O. Box 38255
Baltimore, MD 21231

W3R-US is a 501(c)(3) nonprofit. Your membership is tax deductible.