Ny-27 Veteran Of The Month

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NY-27 Veteran of the Month
Each month, Congressman Chris Collins will recognize one exceptional NY-27 Veteran for their service and dedication to
our country. To nominate someone for Veteran of the Month, please complete the form and attach a brief biography
for the veteran. Should you have any questions, please contact our Lancaster District Office.
Nominee Information:
Name: __________________________________________________________________________________________
Branch of Service: _________________________________________________________________________________
Dates Active: _____________________________________________________________________________________
Address: _________________________________________________________________________________________
Town/City: _______________________________________________________
Zip:_____________________
Telephone: ______________________________________
Email:_______________________________________
Nominated By:
Name: __________________________________________________________________________________________
Relation to Veteran:________________________________________________________________________________
Address: _________________________________________________________________________________________
Town/City: _______________________________________________________
Zip:_____________________
Telephone: ______________________________________
Email:_____________________________________
Please submit this form to one of the following:
Email:
Lancaster District Office
Fax:
NY27Veteran@mail.house.gov
(716) 634-2324
(716) 631-7610
2813 Wehrle Drive, Suite 13
Williamsville, NY 14221

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