Your Full Name

Your E-mail address, needed to acknowledge information submitted. * required   

In the space below list the name of Veteran/. .Likewise the veterans listed are to be from the Brunswick, Knoxville, Weverton, Sandy Hook, Petersville,  Jefferson Adamstown and Burkittsville area that are in the Brunswick High School district and burial can be anywhere

Served during War or conflict  Civil WWl   WWll    Korean War   Vietnam War   Other War or conflict

Branch of service U S Army   U S Navy U S Marines Air Force Coast Guard

Deceased Veteran's Last Name   First and Middle Name or Initial  

Divn Company Reg Ship etc Date entered service Date discharged

Medals or Awards

Date Born Date Died  

Where Buried

If you have an obituary email it to me separately