Vietnam Veterans 50th Anniversary Pin Program

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Your Information

First Name:

Last Name:

Phone Number

Email Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Date of Birth:

Start of Service:

End of Service:

Branch of Service:

Rank:

Years of Service:

If needed, would you be able to provide documentation verifying your Vietnam-era service?

Yes

Will you attend the 2025 pinning ceremony?

Yes

Which ceremony will you attend?

How many people will attend the ceremony including yourself?

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