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: