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This form is to be used to enter information of Galionite's that are serving in the USA Armed Forces.

Name of person serving:

Choose one of the following options:


Parents:


Where stationed or soon will be stationed (only if allowed to give out):


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Copyright 2004 Young's Computer Services
Last modified: 10/01/08
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Copyright 2008 Young's Computer Services
Last modified: 6/26/2008