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AWA Veteran Memorial Wall of Honor Submission
To be included on the Wall, ALL of the following information MUST be received for each addition.
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* Indicates required question
Email
*
Your email
Veteran's First and Last Name
*
Your answer
Veteran's Class Graduation Year
*
Your answer
Who gave permission for veteran information to be placed on the plaque?
*
Your answer
Relationship to the veteran
*
Your answer
Contact information for the veteran or person confirming information (phone and/or email).
*
Your answer
Complete Address (street, city, state, zip) of veteran or person confirming information.
*
Your answer
Date Confirmed
*
MM
/
DD
/
YYYY
Veteran full first and last name and highest rank achieved (as will appear on plate engraving)
*
Your answer
Branch of service
*
Your answer
Yes or No if died in service
*
Yes
No
If died in service, complete birth/death span
Your answer
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