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HONOR QUILT NOMINATION FORM
IS NOT AVAILABLE FOR SMALL SCREENS
IN PORTRAIT MODE
TURN YOUR DEVICE HORIZONTIALLY
TO ACCESS THE FORM
Honor Quilt Nomination Form
Veteran's Name:  
Address:  
e-Mail:  
Phone:      
Branch:   Army   Navy   Marine Corp   Air Force   Coast Guard   Space Force  
Dates of Service:  
Location(s) of Service:  
Additional comments:  
Additional comments regarding the veteran’s service such as unit or ship assignments
duties, or experiences that would be meaningful to highlight at a quilt presentation
Affiliations (VFW, Am Legion, etc.)  
Nominator's Name:  
Address:  
e-Mail:  
Phone:      
  A PDF copy of the completed form will be sent to D. Karbach (dkarbach2000@gmail.com)
and to the Nominator (if the email address is provided)
Addition