Questionnaire

On Line Questionnaire

Please fill out the following information so we can add you to the mailing list for your group, and post your Member Profile on your group's web page. PLEASE NOTE: This info will be posted on your group's reunion web site, with the exception of your address and phone number. If you do not want your email address posted, be sure NOT to check to supplied box. We'd love to have photos of you, from your time with this ship/unit and now (we call these "now and then" photos). You can email them to us at dina at mlrsinc dot com. Please include your name and the name of your ship or unit so we know where to "file" these photos until time to print them in the memory book.

First Name
Maiden or Previous Last Name
Current Last Name
Middle Initial
Ship or Unit
Reconfirm Ship or Unit
Mailing Address
2nd Line Mailing Address if needed
City
State
Zip
Home Phone
Email Address
Check if you want your email address posted on the reunion web site:

Spouse
What was your rate or rank when you departed this ship/unit

Navy, which division were you in

Army, Airforce, which Company and/or Squadron were you in

What years did you serve on/with this ship/unit
From To

What was your hometown (prior to military svc)

What was your civilian occupation (post military service)

What are your hobbies and special interests

What is your favorite memory from your time with this ship/unit

What is your worst memory from your time with this ship/unit

How many kids, grandkids do you have? Feel free to brag on them!

Is there a particular person you'd like to see at the reunion

Additional Comments