Instructions

To apply to become a Commemorative Partner, please fill out the following information in as much detail as possible. Please type or print clearly.
Steps:
1. Use this form to list your organization's name and provide the names, addresses, email and telephone numbers of your committee's chairperson and point(s) of contact (POC).
2. Use Page 2 of this form to list the members of your Commemorative Committee. You may add as many as you like, but we require at least three members.
3. Use the Submit button at the bottom of this form to email your application to: WHS.VNWAR50th_CPP_MILAPP@mail.mil.
fax to: 703-692-4691, or mail hard copies to:
The United States of America Vietnam War Commemoration, 241 18th Street South, Suite 101, Arlington VA 22202.

DoD Component and Military Installations Application

Commemorative Partner Program Application - STEP 1

Organization

Installation

Country

State/Region

City

Zip Code

-

Date Committee Established

Nearest Incorporated Civilian Community

Military Branch




Commemorative Committee

Organization Email Address

Alternate Email Address

Mailing Address

Country

State/Region

City

Zip Code

Telephone Numbers (Format: 123-456-7890)

Commercial

Alternate Commercial

DSN

Commemoration Chairperson

First Name

Last Name

Email Address

Street (Include Suite Number)

Country

State/Region

City

Zip Code

Telephone Numbers (Include area code/extensions) Format: 123-456-7890

Commercial

Alternate Commercial

DSN

First Alternate Committee Member

First Name

Last Name

Email Address

Street (Include Suite Number)

Country

State/Region

City

Zip Code

Telephone Numbers (Include area code/extensions) Format: 123-456-7890

Commercial

Alternate Commercial

DSN

Second Alternate Committee Member

First Name

Last Name

Email Address

Street (Include Suite Number)

Country

State/Region

City

Zip Code

Telephone Numbers (Include area code/extensions) Format: 123-456-7890

Commercial

Alternate Commercial

DSN