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, emails and telephone numbers of your committee's chairperson and at least two additional points of contact (POC).
 
2. Use Page 2 of this form to list additional members of your Commemorative Committee.
 
3. Use the Submit button to return completed form to: WHS.VNWAR50th_CPP_MILAPP@mail.mil or fax to: 571-256-3390.

DoD Component and Military Installations Application

Commemorative Partner Program Application - STEP 1

Organization Name

Installation Name

Country

State

City

Zip Code

-

Organization/Installation Website

Nearest Incorporated Civilian Community




Organization

Street (Include Suite/Apt. Number)

Country

State

City

Zip Code

Commercial Telephone Numbers (Include area code/extensions)

DSN

Committee Chairperson

First Name

Last Name

Email Address

Official Mailing Address

Street (Include Suite/Apt. Number)

Country

State

City

Zip Code

Telephone Number(s) (Include area code/extensions)

DSN

1. Point of Contact

First Name

Last Name

Email Address

Official Mailing Address

Street (Include Suite/Apt. Number)

Country

State

City

Zip Code

Telephone Number(s) (Include area code/extensions)

2. Point of Contact

First Name

Last Name

Email Address

Official Mailing Address

Street (Include Suite/Apt. Number)

Country

State

City

Zip Code

Telephone Number(s) (Include area code/extensions)

Additional Commemorative Partner Committee cMembership (If applicable)