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