
California State Military
Museum Foundation| Name |
| Date of Birth (and Death, if applicable) |
| Rank |
| Branch of Service |
| Dates of Service |
| Current Occupation |
| Address (address will not appear on Gallery): |
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Free Statement (limited to 200 words. Please print or type)
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Photograph (must be at least 2" by 2")(Covers Internet Expenses) |
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Additional Donatation |
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Total Donation |
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