This form is specially designed for you to print out and distribute to your "internet-impaired" friends. Have them fill out the form and then you can return to the on-line submission form and submit their honored Veteran.

All fields must be completed. Living as well as deceased veterans may be honored. We reserve the right to deny a submission for incomplete or inappropriate entries.

Last Name:
First Name:
                       City and/or County                         State
Choose Marker for display:
Star of David
American FlagAmerican Flag
Confederate FlagConfederate Flag
Era of Service:
Colonial Wars
American Revolution
War of 1812
Mexican-American War
Civil War
Indian Wars
Spanish-American War
Korean War
Gulf War
Peacetime - Years:

Unit: (include as complete a reference as possible such as "Mortar Section, Company E, 2nd Battalion, 424th Infantry Regiment, 106th Infantry Division (The Golden Lions), U.S. Army")

Rank: WIA     KIA

The best genealogical source for this veteran is...
(Hint: specify your strongest documentation for this veteran such as pension papers, roster roll, newspaper article, obituary, photo in uniform, family tradition, personal knowledge etc.)

This veteran is thus honored by...
(Hint: Who are you? What is your relationship to this Veteran? You may leave an email or snail mail address if you wish to have contact with other descendants of this Veteran. You may also leave a URL to a personal tribute page. Don't have a personal Tribute page?  Click here.)

Can't say all you want to say about your valiant ancestor in the small space allotted for this Registry? Want to add photos of your ancestor? Why not explore the possibilities of a Memorial Tribute hosted by the United States Internet Genealogical Society.

Want to learn more about where your ancestor came from and research your family tree? Check out the American Local History Network, a central point of entry to independent web sites with historical or genealogical content.

Problems? Comments? Contact webmaster