Dd Form 2954 - Vietnam War Commemoration Commemorative Partner Program Application
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1
2VIETNAM WAR COMMEMORATION
COMMEMORATIVE PARTNER PROGRAM APPLICATION
(DoD Component and Military Installations only)
Use the Submit button to return completed form to: WHS.VNWAR50th_CPP_MILAPP@mail.mil or fax to: 571-256-3390.
1. APPLICATION DATE
2. ORGANIZATION/INSTALLATION
3. STATE
4. CITY
(YYYYMMDD)
5. DATE COMMITTEE ESTABLISHED
6. NEAREST INCORPORATED CIVILIAN COMMUNITY
(YYYYMMDD)
7. MILITARY BRANCH
(X if applicable)
USMC
USN
USA
USAF
USCG
ARMY NATIONAL GUARD
USMCR
USNR
USAR
USAFR
USCGR
AIR NATIONAL GUARD
OTHER DoD COMPONENT
(Specify)
8. COMMEMORATIVE COMMITTEE
a. OFFICIAL MAILING ADDRESS: (1) STREET
(2) CITY
(3) STATE
(4) ZIP CODE
(Include Suite Number)
b. ORGANIZATION'S EMAIL ADDRESS
c. ALTERNATE EMAIL ADDRESS
d. TELEPHONE NUMBERS
(Include area code/extensions)
(1) COMMERCIAL
(2) ALTERNATE COMMERCIAL
(3) DSN
9. COMMEMORATION CHAIRPERSON
a. LAST NAME
b. FIRST NAME
c. OFFICIAL MAILING ADDRESS
(1) STREET
(2) CITY
(3) STATE
(4) ZIP CODE
(Include Suite Number)
d. EMAIL ADDRESS
e. TELEPHONE NUMBERS
(Include area code/extensions)
(1) COMMERCIAL
(2) ALTERNATE COMMERCIAL
(3) DSN
10. FIRST ALTERNATE COMMITTEE MEMBER
a. LAST NAME
b. FIRST NAME
c. OFFICIAL MAILING ADDRESS
(1) STREET
(2) CITY
(3) STATE
(4) ZIP CODE
(Include Suite Number)
d. EMAIL ADDRESS
e. TELEPHONE NUMBERS
(Include area code/extensions)
(1) COMMERCIAL
(2) ALTERNATE COMMERCIAL
(3) DSN
11. SECOND ALTERNATE COMMITTEE MEMBER
a. LAST NAME
b. FIRST NAME
c. OFFICIAL MAILING ADDRESS
(1) STREET
(2) CITY
(3) STATE
(4) ZIP CODE
(Include Suite Number)
d. EMAIL ADDRESS
e. TELEPHONE NUMBERS
(Include area code/extensions)
(1) COMMERCIAL
(2) ALTERNATE COMMERCIAL
(3) DSN
DD FORM 2954, NOV 2014
Page 1 of 2 Pages
If additional committee members, list on Page 2.
PREVIOUS EDITION IS OBSOLETE.
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