Military Ministry Info Card

Your name *

Email address *

If you are a relative of the active duty personnel or veteran, please answer the following:

Your First & Last Name

Your Phone Number

Your Email

How are you related to the active duty personnel or veteran?

Do you want to get involved in Military Ministry?

If you want to get involved, please complete the Serve Team Application at woosternaz.org/serve. Someone will be in touch after you complete the Serve Team Application.

Active Duty Personnel or Veteran's Info:

Active Duty or Veteran? *

First & Last Name *

of Active Duty Personnel/Veteran

Phone Number

of Active Duty Personnel/Veteran

Email

of Active Duty Personnel/Veteran

Address

of Active Duty Personnel/Veteran

Branch of Service *

of Active Duty Personnel/Veteran

Rank

of Active Duty Personnel/Veteran

Years Served (example: 1976-1980)

of Active Duty Personnel/Veteran

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