If you’re a lucky MatchUP winner, we’ll need a way to contact you!
Please fill out the following information carefully!
Your Base Information:
Please select the BASE at which you are participating in the AMC MatchUP game!
Charleston
MacDill
Pope
Dover
McChord
Scott
Fairchild
McConnell
Travis
Grand Forks
McGuire
Other AMC Affiliate**
Little Rock
**If you are a Guard, Reserve, Enroute, Tenant Unit or other AMC Affiliate not participating at one of the 12 AMC bases above, please select "Other AMC Affiliate" above.
User ID of your choice:*
User ID can contain letters and numbers. It must be 6-12 characters in length and contain no symbols.
Password:*
Password must be a 4 digit numeric number. For example: 4192.
Last 4 digits of SSN:*
First Name:*
Last Name:*
Address:*
Address 2:
City/APO/FPO:*
State/AA/AE/AP:*
..Choose One..
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Country:*
ZIP Code/Postal Code:*
If you are registering as a family member,
please indicate your sponsor's full name:
First Name:
Last Name:
This information will only be used to assist in
locating prize winners and verifying eligibility.
Phone Number:*
Work/Alt Phone Number:
Email:
Notify me of special events, etc., via email
Gender:*
..Choose One..
Female
Male
Age Range:*
..Choose One..
10 and under
11 - 17
18 - 25
26 - 35
36 - 45
46 and above
Status:*
..Choose One..
Active Duty
Family Member of Active Duty
Air National Guard
Air Force Reserve
Civilian Employee
Retired Military or Family Member
None of the Above
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