Provide your first name, as you would like it to appear on your Award Certificate *
Your answer
Provide a phone number in case we need to contact you. *
Your answer
In which military branch did you serve? *
Your answer
What was your rank when you retired or resigned your commission? *
Your answer
Provide your years of service (19xx-xxxx) *
Your answer
Did you serve in Vietnam? There is an additional recognition for Vietnam veterans, but service in Vietnam is nor required for a Quilt of Valor. *
Do you plan to attend the 1969 NGC 55th Class Reunion on Nov. 1-2, 2024? If you are not attending the reunion, a Quilt of Valor award can be arranged for 2025; be sure to provide your phone number to be contacted. *
If you are NOT attending the 55th class reunion provide your mailing address (snail mail).