DoD Component and Military Installations Application

Instructions

To apply to become a Commemorative Partner, please fill out the following information in as much detail as possible. Please type or print clearly.

Steps:

1. Use this form to list your organization's name and provide the names, addresses, emails and telephone numbers of your committee's chairperson and at least one separate point of contact (POC).

2. Use the Submit button to return completed form to: WHS.VNWAR50th_CPP_MILAPP@mail.mil or fax to: 571-256-3390.

Commemorative Partner Program Application

* required fields

Organization Name *

Field 'Organization Name' is blank

Installation Name *

Field 'Installation' is blank

Country Country Suggest

State State Suggest Region *

City *

Field 'City' is blank

Zip Code 5 digits * zip code plus 4

Field 'Zip Code' is blank

Zip 'Zip Code' is invalid

Organization/Installation Website

Nearest Incorporated Civilian Community *

Military Branch (select if applicable) *

USMC

USN

USA

USAF

USCG

ARMY NATIONAL GUARD

USMCR

USNR

USAR

USAFR

USCGR

AIR NATIONAL GUARD

OTHER DoD COMPONENT (Specify)

Other Military Branch

Organization

Mailing Address

Street (Include Suite/Apt. Number) *

Field 'Address' is blank

Country * Country Suggest*

State * State Suggest*

Region *

City *

Field 'City' is blank

Zip Code *

Field 'Zip Code' is blank

Commercial Telephone Numbers
(123-456-7890) *

Field Commercial Phone' is blank

DSN phone number
(123-456-7890)

Field 'DSN' is invalid

Committee Chairperson

First Name *

Field 'First Name' is blank

Last Name *

Field 'Last Name' is blank

Email Address *

Field 'Email Address' is invalid Field 'Email Address' is blank

Email Address is already registered

Official Mailing Address

Street (Include Suite/Apt. Number) *

Field 'Address' is blank

Country * Country Suggest*

State * State Suggest *

Region *

City *

Field 'City' is blank

Zip Code *

Field 'Zip Code' is blank

Phone(s) (Include area code/extensions) *

Field Commercial Phone' is blank

DSN phone number (123-456-7890)

Field 'DSN' is invalid

Point of Contact

First Name *

Field 'First Name' is blank

Last Name *

Field 'Last Name' is blank

Email Address *

Field 'Email Address' is invalid Field 'Email Address' is blank

Email Address is already registered

Official Mailing Address

Street (Include Suite/Apt. Number) *

Field 'Address' is blank

Country * Country Suggest*

State * State Suggest *

Region *

City *

Field 'City' is blank

Zip Code *

Field 'Zip Code' is blank

Phone(s) (Include area code/extensions) *

Field Commercial Phone' is blank

As a Commemorative Partner of The United States of America Vietnam War Commemoration, we understand:

1. Our organization has decided to participate in the Commemorative Partner Program with the understanding that we will endeavor to plan and carry out events each year during the commemorative period of 2021-2025, "To thank and honor veterans of the Vietnam War, including personnel who were held as prisoners of war or listed as missing in action, for their service and sacrifice on behalf of The United States and to thank and honor the families of these veterans

2. Upon approval to become a Commemorative Partner, we will use the official Commemoration flag and Commemorative Partner seal without making modification, and in accordance with the following terms and conditions:

a. Our use of the seal will be for non-commercial purposes in direct support of dignified, honorable and memorable commemorative events or in related printed materials, such as event promotions, programs, newspaper or magazine articles about the service of Vietnam veterans;

b. We will not display the seal on a web page, buildings, vehicles, signage, or in any similar media that does not clearly and directly support at least the first of the five congressionally-mandated objectives of The United States of America Vietnam War Commemoration.

c. We will have no rights to sell, license, manufacture, distribute, or use the seal for fund-raising or recruitment purposes.

d. We will have no right to reproduce the flag; we will have no right to reproduce the seal for purposes other than those enumerated above.

AUTHORIZED SIGNATURE

a. COMMEMORATIVE PARTNER CHAIRPERSON'S PRINTED NAME (First and Last) *

b. Signature * (Please type the first letter of your first name and then your last name in this box. This will serve as your electronic record of this application.)

Field 'Signature' is blank