RICHMOND HEIGHTS MEMORIAL LIBRARY

LOCAL VETERANS ARCHIVE REGISTRATION FORM

For veteran offering personal information: Please fill in all known information. This information will be added to the Honor Roll at our next major revision, in summer or fall of 2013.

Please type or print clearly. Let us know if you would like help completing this form.

Name_______________________________ Address__________________________________

Telephone Number ( )_______________ __________________________________

(If the above address is not a Richmond Heights address, where did you live at the time of your active military service?)__________________________________________________________________

General Category (check all that apply):

World War I Veteran ____

World War II Veteran ____

Korean War Veteran ____

Vietnam War Veteran ____

Cold War Veteran ____

Operation Desert Storm Veteran ____

Operation Iraqi Freedom Veteran ____

Operation Enduring Freedom Veteran ____

Other (active duty during American police actions in Grenada, Panama, et cetera) ____

Branch of Service ___________________________________________________________

Number of Years in Service ___________________________________________________

Dates of Service ____________________________________________________________

Highest Rank Attained: ______________________________________________________

Where did you do your basic training? __________________________________________

Where were you stationed overseas? (Navy personnel and others stationed aboard ship or other vessels, please indicate) ______________________________________________________

Form continues on back of page

Please name major battles of campaigns in which you participated:

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Any special medals, citations or commendations?__________________________________

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Name of individual filling out this form, if different from veteran (please print)

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Relationship to veteran (spouse, friend, etc.)? _____________________________________