Germantown Area Veterans Memorial
Personal Data Sheet Form

(page 1 of 2)
(print using "file print")


Use this form to provide the Germantown Area Veterans Memorial Committee with background information on a honoree whose name is already inscribed on the Walls-of-Honor.  It is not to be used to request a name to be added.

UPDATE REQUEST

Name of Veteran ______________________________________________________________________

Update Request Placed By:  (required)   _____________________________________________________

Address:   (please print)                                                                                 contact numbers
___________________________________________________   home: __________________________
___________________________________________________   work: __________________________
___________________________________________________   email: __________________________

I verify in signing this request that the information is true and can be shared with the greater Germantown Community.

     Signed: _____________________________________________________________________

     Date: _______________________ Relationship: ____________________________________

Send the completed form and a portrait picture to:

Germantown Area Veterans Memorial Inc.
PO Box 485
Germantown, WI 53022-0485


Background Information:

Honoree's Full Name: __________________________________________________________________

Full Names of Parents: _________________________________________________________________
                                                                         (include mother's maiden name)

Date of Birth: __________________________________

If deceased, could you share their obituary?

Date of Death: ___________________________________

Burial Location: ________________________________________________________

*** Can you share a portrait picture, preferably in uniform, or a portrait picture of any sort? ***


(see page 2)




Personal Data Sheet Form
(page 2 of 2)




Honoree's Full Name: _____________________________________________________________________


Details regarding when the person served:

From When: __________________________________ To When: __________________________________

Units Served In:

Where Did The Person Serve:

Rank/Grade: ___________________________________________________________________

Military Occupation Speciality (what did the person do):

Awards Received:

Sign: _______________________________________________ Date: _____________________

(If you do not know this information, you might wish to send away for it. Go to the web site "www.archives.gov/veterans/evetrecs.index.htm/" and in the left column of the screen, "Request Military Service Records ...", then follow the instructions provided.)


Other: