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2. Veterans Census Form
   Please answer the questions below to add a University Park resident to the Veterans list or make any corrections to the list. Names will be published on the Town's website and also in the November newsletter for Veterans Day. If you have any questions, email townhall@upmd.org or call (301) 927-4262 to speak to the Town Clerk.
4. First and Last Name:*
   Veteran or person currently serving in the military must live or have lived in University Park.
6. Branch of Military:
8. Years of Service:
10. Wars or Conflicts Served In:
12. Is the Veteran deceased?:*
14. Additional Information:
    Optional, information i.e. awards, medals, where they were stationed, specializations, or anything about their service that we should know.
16. Corrections to the Veterans List:
    Provide any information that needs to be corrected on the list. We apologize for any mistakes and will fix them as soon as possible.
18. Email or Phone Number:*
    Provide your contact information if there are any questions about your submission.
20. Thank You!! We will be in touch to confirm we have received your submission. If you don't hear from us in 7 days, please contact Town Hall.
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field