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VET MASTER |
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SIGNATURE
CARD |
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__________________________________________________________________________________ |
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Vet #
First
Middle
Last
Tlt
Date Entered Service |
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SSN______________________________________________ |
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Serial
Number_______________________________ Tax
District________________________________(Residence) |
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Address______________________________________________________________________________ |
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Address______________________________________________________________________________ |
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City/State_____________________________________________________________________________ |
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Zip
Code_________________________________________ |
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Phone
Number_____________________________________ |
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Place of
Entry______________________________________________________ |
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War-Operation____________________________________________________ |
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Date of
Discharge____________________________________________________ |
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County
Transferred From____________________________________________ |
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Date
Entered Wyoming_______________________________________ |
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Acct
Balance_____________________________ First Year of
Eligibility____________________________ |
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Married________ Spouses
Name_________________________________________________________________ |
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Disability___________________ |
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____________________________________________________________________________________________ |
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Signature
Date Signed |