Kagnew Patch

Kagnew Station Roster
Add Form
(Add your name to the Roster)

kagnewpatch
Please use this form to add your name to the Kagnew roster. Take your time and fill in all the blanks completely, double check and check your typing. Make sure you put the correct email address in because this will be my link to reply to you, and it will also be in your listing for others to contact you.

If there are special circumstances that are not included on the form, please use the comments area for these items. You can also use the comments area for any messages you'd like to send to me.

Fields with a red asterisk (*) after them are required. You will not be posted if these fields are blank.

Stop!

NOTICE: This form is to ADD your name to the roster.

DO NOT use this form if you are listed on the roster.

Please use the CHANGE FORM if you need changes made.

Personal Information


Email Address: * (Please double-check your spelling)

Last Name: *
First Name: *
Address:
City:
State:   * <--- Click drop-down to select your state.
Zip Code:
Home Phone: Area Code:    Number:   Example: 555-1212
Work Phone: Area Code:    Number:   Example: 555-1212

Kagnew Information

Tour 1: *   (Example: 98-99)
Tour 2:
Tour 3:
Branch/Unit: *
Work Site:
MOS (if known)
Duties:
   

Status: Military Civilian Dependent     (Click the correct option)

For civilians or dependents only:
Your Sponsor: Father Husband
Name & Unit:

Comments (these comments are for Rick and are not posted):


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