Quilts of Valor Nomination Form

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Email *

Who is this quilt for? *

Myself

Someone Else

Has this recipient ever received a Quilt of Valor before? *

Yes

Recipients Name *

Recipients Address *

Name of church recipient attends *

Recipient's email address *

Which branch of military did the recipient serve in? *

Army

Marine

Navy

Air Force

Coast Guard

Required

Dates of service *

Please list title, job description, and rank held. *

Please list any awards, badges, ribbons etc. *

Did the recipient serve in combat? *

Yes

If yes, which war(s).

Family member contact name. *

Family member contact number. *

By clicking YES you are giving consent for pictures to be taken and used for SCCOGQOV purposes: I understand that pictures, comments and content from this application may be used in a QOV ceremony or for media purposes. *

Yes

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