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Veteran Pledge of Allegiance form

  1. Please insert your name if you are not the veteran.
  2. Please select todays date
  3. Please enter your email address here
  4. Please select the date you joined the military and discharge date
  5. WHAT DO YOU DO FOR HOBBIES? DO YOU VOLENTEER IN YOU COMMUNITY?
  6. WHAT ARE THE NAMES OF YOUR SPOUSE AND CHILDREN? HOW MANY GRANDCHILDREN DO YOU HAVE?
  7. DO YOU HAVE A COPY OF YOUR DD 214?
  8. DO YOU WANT AN APPOINTMENT TO DISCUSS POSSIBLE BENEFITS?
  9. Leave This Blank:

  10. This field is not part of the form submission.