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Contact Information
Name
*
First Name
Last Name
Rank
*
Branch of Service
*
Phone
*
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Where were you deployed?
*
Dates of Deployment
*
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone
Emergency Contact Relationship to Service Member
(spouse, parent, daughter/son, coworker, etc)
How often would you like to be called?
(Remember, you can change these options at any given time)
select one
Once a month
Twice a month
Once a week
Daily
Optional - Please provide any additional information you would like for us to share with your Battle Brother/Sister: