Military Support Group
Member Information Sheet

If you feel comfortable doing so, please fill out this sheet with any or all of the suggested information. It could help us contact you if the need would arise.

Your Name(s): ___________________________________________________________

Your Address: ___________________________________________________________

Your Phone Number: ______________________________________________________

Your Email Address: ______________________________________________________
(this is our preferred way of contacting you)

Loved one’s name and relationship to you: _____________________________________

Military Branch: __________________________________________________________

Current duty station: ______________________________________________________

Indicate whether you want this information shared with others in this group:
___  Yes  	____ No
We will never share this information with anyone outside this group.

Military Support Group
Member Information Sheet

If you feel comfortable doing so, please fill out this sheet with any or all of the suggested information. It could help us contact you if the need would arise.

Your Name(s): ___________________________________________________________

Your Address: ___________________________________________________________

Your Phone Number: ______________________________________________________

Your Email Address: ______________________________________________________
(this is our preferred way of contacting you)

Loved one’s name and relationship to you: _____________________________________

Military Branch: __________________________________________________________

Current duty station: ______________________________________________________

Indicate whether you want this information shared with others in this group:
___  Yes  	____ No
We will never share this information with anyone outside this group.