Prefix/Rank:
1LT
1st Lt
1stLt
2LT
2d Lt
2nd Lt
2ndLt
BG
BGen
Brig Gen
CAPT
CDR
CH (LTC)
CH (Lt Col)
CH (MAJ)
CH (LCDR)
CH (Lt Col)
COL
CPT
CW02
CW03
CW04
CW05
CW2
CW3
CW4
CW5
CWO2
CWO3
CWO4
CWO5
Captain
Colonel
Commander
Dr
ENS
GEN
General
Honorable
LCDR
LT
LTC
LTG
LTJG
Lt Col
Lt Gen
LtCol
LtGen
MAJ
MG
Maj Gen
MajGen
Major
Miss
Mr
Mrs
Ms
Mx.
RADM
RDML
SFC
Senator
VADM
W-1
W-2
W-3
W-4
W-5
WO1
Last Name:
First Name:
Middle Name:
Suffix:
Email:
Phone:
Address:
Address Line 2
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
U.S. Minor Outlying Islands
Virgin Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut Territory
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip:
-
Zip Suffix
Service
Army
Marines
Navy
Air Force
Coast Guard
Space Force
NOAA
Public Health Service
Surviving Spouse
DoD Civil Service
Spouse
Honorary
Associate
Component
Regular
Reserve
National Guard
Other
Duty Status
Active
Retired
Former
Surviving Spouse
Other
Birth Date(MM/DD/YYYY):
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