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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?

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