Veterans Information Submittal Form

Eligibility: Any veteran living or deceased, from or living in the Town or Village of Caledonia, or the Mumford Fire District. The veteran was/is a member of the Army, Air Force, Navy, Marines, Coast Guard, Merchant Marines, National Guard, Reserves or any member of the Allied Forces.

VETERAN'S NAME

FIRST:
MI:
LAST:
RANK:
BRANCH:

DATES SERVED

FROM:
TO:
KIA/MIA

CONTACT INFORMATION

NAME:
EMAIL:
PHONE:

Any Veteran who would like to be interviewed please check:

Enter any comments or concerns in the space provided below:

 

 

*The Big Springs Museum would appreciate any veterans photos

Rev: B, 21FEB03

 

Caledonia-Mumford Veterans Memorial Wall Committee
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