amivics veterans

 

Enrollment Form - Fields with an * indicate required fields
VETERANS INPUT SCREEN FOR SERVICE RECORD AND PHOTO
Highest Rank/
 
* Status
Rate Held
Birth Date
 //
Privacy Notice: Please check the boxes
 
  
Birth Place
below on the fields you want displayed:
* First Name
Death Date
//
Telephone #
Middle Name
Gender
Street Address
* Last Name
 
 First Service
Email
Suffix
* Corp
List 5 of your most significant duty stations
Nickname
* Start Month
1.
2.
3.
4.
5.
Telephone #
* Start Year
Duty Station Comments
* Email
* End Month
* Street
* End Year
List 5 of your most significant awards
Apt. #
 
1.
2.
3.
4.
5.
* City
 
 Second Service
Award Comments
* State
Corp
  
* Zip
Start Month
 
Country
Start Year
Specialty
End Month
 
Add Service Photo 2MB size limit and must be .jpg or .gif
End Year
 

 

veterans
ACTIVE DUTY/VETERAN SEARCH FORM
     
First Name
Last Name
     
   
To contact us or enroll you can choose from the method(s) below.
 
  • Download the form here and email back to us.
    		•
     
  • Use the site enrollment form here.
    		•
     
  • Email us at enroll@amvics.net
    		•
     
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