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Name of Military Person:
Rank::
Branch of Service:
Address:
State or APO FP: Postal Code:
Country (optional):
Birthday (mm/dd/yyyy):
Expected Month of Return:
Favorite Snacks:
Favorite Music:
Hobbies:
Special wishes, wants or needs:
Your relationship to the Military Person:
In case we need to contact you, please provide us with the following...
Your Phone (required):
Your E-mail (required):
Do you grant us permission to share your info with trusted colleagues? (required)
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