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Get Registration Form - All Veterans Funeral And Cremation

Ace Birth Date Birthplace Years of Education Occupation (most of life) Father s Name Mother s Name (including maiden name) Check one of the following: q Married q Never Married q Divorced q Widowed Name of Spouse Wife s Maiden Name (The above information is necessary for the death certificate. This information is kept strictly confidential). PERSONS TO BE NOTIFIED Name Address Name Address Relationship Telephone # Relationship Telephone # Designate Your Wishes Check any items you.

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