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The United States of America
Vietnam War Commemoration
for Virginia Beach Vietnam Veterans
This template should only be used if you are unable to 
use the web form available on the home page.

This template will help you provide the 
Event Coordinator with the necessary 
information to tell us if you will be attending the
Virginia Beach Commemoration Reception
starting at 1pm on November 12, 2017


  Fields that must be filled in
To
"Event Coordinator" <vn50thrsvp@cox.net>
Subject:
  Commemoration RSVP
From:


 

* Your Last Name
* Your First Name and Initial
* Your relationship to the Veteran
     Veteran (Self)
     Surviving Spouse
     Spouse
     Immediate Family
     *Other Than Immediate Family
     *Friend

* Note:  Attendees other than veterans or immediate family will be required to pay for the Reception ($30.00)

 
If a Surviving Spouse or Family Member, fill in Name of Veteran being honored:   * Veteran's Last Name
 * Veteran's First Name and Initial
 
Did the Veteran serve on active duty in the U. S. Armed Forces  at any time 
during the period of November 1, 1955 to May 15, 1975, regardless 
of location? * Yes   No   Unsure   Prefer not to say
  If Yes, the individual is a Vietnam War Veteran
 Service:*
 US Army
 US Air Force
 US Coast Guard
 US Marines
 US Navy
 None
Last Rank:
 Veteran's last rank
 Number of 
attendees:
 How many?
 Attendees: Information about each person attending, including the veteran, if attending:
* Your Last Name
* Your First Name and Initial
* Your relationship to the Veteran
     Veteran (Self)
     Surviving Spouse
     Spouse
     Immediate Family
     *Other Than Immediate Family
     *Friend

* Note:  Attendees other than veterans or immediate family will be required to pay for the Reception ($30.00)

 Certificates*
Options for Certificates of Honor:*  Required data for certificates
   Select one option and fill in the required information
 
For POW or POW's Surviving Spouse 
 * Veteran's Last Name
 * Veteran's First Name and Initial
 * Service
     US Army
     US Air Force
     US Coast Guard
     US Marines
     US Navy
 * Veteran's last rank

For Missing and Unaccounted For 
 * Veteran's Last Name
 * Veteran's First Name and Initial
 * Service
     US Army
     US Air Force
     US Coast Guard
     US Marines
     US Navy
 * Veteran's last rank
 * Full name of Immediate Family Member
   to be placed on Certificate
 * Relationship to Veteran
     Surviving Spouse
     Spouse
     Immediate Family

Listed on Vietnam Veterans Memorial in Washington D.C.
 * Veteran's Last Name
 * Veteran's First Name and Initial
 * Service
     US Army
     US Air Force
     US Coast Guard
     US Marines
     US Navy
 * Veteran's last rank
 * Full name of Immediate Family Member 
   to be placed on Certificate
 * Relationship to Veteran
     Surviving Spouse
     Spouse
     Immediate Family

For Veteran's Surviving Spouse
 * Veteran's Last Name
 * Veteran's First Name and Initial
 * Service
     US Army
     US Air Force
     US Coast Guard
     US Marines
     US Navy
 * Veteran's last rank
 * Full name of Surviving Spouse
   to be placed on Certificate
 * Relationship to Veteran
     Surviving Spouse
     Spouse
     Immediate Family

None of the above
Email:
 * Your email address
        (For this event use only. Will not be dispersed, sold or marketed)

1  - 06/30/2017