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Company Q
Application for Membership

*Your Name:
*E-mail Address:
*Soldier's Name:
*His Rank and Company:
*Your Relationship (i.e., you are a great-great-grandson):

Would you like to be listed on the Company Q page?    Yes    No
Shall I link your name and e-mail address so others may contact you?    Yes     No
Any comments or additional information about your ancestor?
   


If you've tried submitting information using this form recently, it may not have arrived in my email box. The form has been updated and tested as of 5/25/2015 so it's working properly. Sorry for tany inconvenience you may have experienced!

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