Illinois AMVETS JROTC/ROTC MEDAL REQUEST FORM
Instructors may request medals and certificates by completing the below form. Please contact Crystal Blakeman at
or 1-800-638-8387 with questions.
Number of Medals
Please list cadet names if you would like preprinted certificates otherwise they will be issued blank.
Name of School
Mailing Address: Address, City, State, Zip
Date of Award Ceremony-Date
Time of Award Ceremony
Request for AMVETS Presenter
Address of Ceremony:
A copy of your responses will be emailed to the address you provided.
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