This application will help us learn more about you.

Your Name
Mailing Address
Street Address
City
State
Zip
Email Address
Email Address again








 

Branch of Service

Army Marine Corp
Air Force Coast Guard
Navy Merchant Marine
Reserves National Guard

Era of Service

WWI Viet Namn Conflict 1965- 1975
1920-1939 Post Viet Namn Conflict era
WWII 1940-1945 Iraq- Afganisthan Era 2003-Present
Post WWII 1946-1950  
Korean Conflict 1950-1953  
Cold war 1953- 1962  
Cuban Missile Crisis  
Military Occupation
Years in Service
Exit Rating
Service Stations
Military Awards
Other civic and veteran organizations you belong to:
Please give us any additional information of your military experience
Civilian Awards and honors
Thank you for taking the time to omplete this application


We will contact you by your postal address in the very near future.
You will be asked for copies of your CDIB, DD214, and Lifetime dues of $100
Doug Barkley, President of the Executive Committee

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Contact: Choctaw Veteran
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