QUILTS OF VALOR FORM

Names of Quiltmakers:    __________________________________________________

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Contact Phone Number:   
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Service Branch of Military:  
(circle one)
US Navy            US Army    US Coast Guard   US Marines

US Air Force          Reservists            National Guard
Name of Veteran:   
__________________________________________________
 
Years of Service:   
__________________________________________________
 
Ending Rank:   
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Has veteran ever received a Quilt of Valor in the past?   
   Yes  _____                     No _______ 
Is veteran able to attend July meeting?       Yes  _____                     No _______