Prefix: (e.g. COL, Mr., Ms, Dr.,etc) *First Name: Middle Name/Initial: *Last Name: Suffix: (e.g. USA (Ret), MD, Esquire, etc) *Address: (Non military) Address Line 2: *City: *State: *Zip Code: - Phone - Home: Work: *Email address: *Password: *Confirm password: *Rank: (During Combat) *Combat Regiment (1st): Combat Regiment (2nd): Combat Regiment (3rd): *Select war: OIF OEF DS/DS RVN WW II WW I 2nd war: None OIF OEF DS/DS RVN WW II WW I 3rd war: None OIF OEF DS/DS RVN WW II WW I Comments/Additional Info (Include things like company level unit, dates, position, etc.): * indicates a required field