Oct. 1, 2006 To Date to be determined: Consolidation II
If you are sending a check or USPS money order please indicate:
CHARGE or DEBIT CARD applicants:
-- My current Card information is already on file from a previous Application
If your Card information is not on file, please Complete the following...
International shipping cost (
U.S. veteran living outside the United States, please add the shipping cost you were quoted...
TOTAL ADMIN PROCESSING/DELIVERY :
.PDF Emailed - $7.50 Full Color
U.S. delivery - $22.45 Full Color Document Only
U.S. delivery - $27.45 Full Color Document in Bond Enclosure
U.S. delivery - $7.50 Full Color printable PDF Document on CD-Rom (when requesting a minimum of 25 certificates). $8.45 USPS shipping added to total
U.S. delivery - $7.50 Full Color printable PDF Document on DVD (when requesting a minimum of 25 certificates). $8.45 USPS shipping added to total
I do not want the Display Recognition. I am requesting the hardwear items listed below (medal, badge, ribbon or patch) if they are available for this award. (Shipping cost applies to non-certificate requests.)
Would you like the full-color Wallet-Size Card Certificate along with one of the above full-size color Certificates ( Wallet Cards are available only when a paper-published Certificate (not emailed Certificate) has been requested. ) Yes, Unlaminated ($3.50) Yes, Laminated ($6.00) No
SKIP THIS SECTION IF YOU ARE NOT REQUESTING A CD-ROM... I want Certificates in pdf format on a CD rom...
I want of my Certificates (minimum 20) in full color; $7.50 per Certificate on CD-ROM. I will be emailing a list of the Certificates I want
Would you like an archive (black&white) copy of the Certificate you are applying for to be mailed from the Records Chief directly to your Commanding Officer -or- to your Employer -or- to your School Administrator for inclusion into your permanent personnel file jacket?
(Fee: $3.50) No.
Yes, please mail an embossed, B&W copy of my Certificate to the following person and address:
Official's Agency Name (name of unit, vessel, office, school, etc.)
City, State, Zip
Would you like a published copy of
My Military Medal Last Will And Testament?
No, I will obtain the free jpg copy
Yes, please include a PUBLISHED VERSION of the Medal Will for a MALE heir of my Awards and add $4.00 to my total
Yes, please include an EMAILED VERSION Medal Will for a MALE heir of my Awards and add $2.50 to my total
Yes, please include a PUBLISHED VERSION of the Medal Will for a FEMALE heir of my Awards and add $4.00 to my total
Yes, please include an EMAILED VERSION Medal Will for a FEMALE heir of my Awards and add $2.50 to my total
Would you like to track your package using the internet through the
United States Post Office after it has been shipped (for seventy-five [.75] cents extra)? Yes, add 75 cents to my total
No, I don't want to track my package
Your Application Form is now complete. After clicking the button below to send this Form you will soon receive a confirmation email containing final instructions on which items, if any, are needed to fulfill your request. Your DD-214 can be mailed or emailed. (Non-personalized items such as hardwear may be exchanged or returned within ten days of delivery. Name-Personalized items such as Certificates that are produced uniquely for a recipient may not be exchanged or returned.)