GOLD STAR INFORMATION FORM

 

 

Name of Sky Soldier:__________________________________________________________________________

 

Unit Served with:______________________________________________________________________________

 

Sky Soldier’s Place and Date of Birth:______________________________________________________________

 

Sky Soldier’s Hometown:________________________________________________________________________

 

Sky Soldier’s Date of Death:______________________________________________________________________

 

Sky Soldier’s Resting Place (name of cemetery and location):_____________________________________________

 

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Sky Soldier’s Panel number on The Vietnam Memorial Wall:______________________________________________

 

Sky Soldier’s Father’s Name/address/phone/e-mail:____________________________________________________

 

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Sky Soldier’s Mother’s Name/address/phone/e-mail:___________________________________________________

 

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Other nearest living relative, i.e. sister, brother Name/address/phone/e-mail:___________________________________

 

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Do You have a Gold Star Membership Card from the Society                    Yes  ___    No ____

Please provide proof of death, i.e. DD Form 1300 or DD Form 214           Yes ___    No ____

If not, would you like an application for replacement pin?                             Yes ___    No ____

 

Do you have a Gold Star Pin?                                                                     Yes ___   No ____

 

Are you on the Society Mailing List?                                                            Yes ___  No ____

 

Have you ever attended a Reunion?                                                             Yes ____ No ____

 

Would you like more information about Reunions?                                        Yes ____ No ____

 

Remember, The Herd Never Forgets!                                                           Yes ____ No ____

 

  

Please complete the attached form and mail to Gold Star Chairperson:

 Gold Star; LTC Mary Sanders, 2181 The Villages, FL 32162

 

 

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