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CLICK HERE for Your Military Medal Award Report

Older Military Medals, Pins & Coins Application Form

1. Complete this form in full. ( Click here to email if you have any technical problems sending this Application Form after you have completed it )

2. Print a copy of this form for yourself, then email the completed form by clicking the button, below...


All items are individually valuated. Add $9.90 USPS shipping.
(There is no shipping fee when an item is shipped with ANY Certificate)

Spanish-American War Veterans Medal
Original Issue medal
Aged antique
Fall of the Berlin Wall
Official Commemorative Coin
Original Issue
Gold-plated (m6)
Spanish-American War
1912 Encampment, Philadelphia PA version
Original Issue
WW1 Army Signal Corps Medal
Original Issue
Korea Defense Service
Non-government issue
Non-official Commemorative
Recent Manufacture
Belgium Medal of Merit
(Au Merite)
Original Issue
French Croix de Guerre
Original Issue
French Order of Merit
Original Issue
Veterans of the Spanish American War, Lapel/Tie PIN
Original Issue
France Medaille Militaire
Original Issue


FIRST Name (as it appears on the Report of Separation):

MIDDLE name (as it appears on the Report of Separation):
Title (Must appear on military documentation):Jr Sr II III IV

Rank Title (Please Do Not Abbreviate):

I have not moved. My current address info is on file from a previous application

Street Address:


Full and complete contact email address:


  • Enter the veteran's FIRST FOUR DIGITS ONLY (Do Not enter any alphabet letters. Numbers only.) 
  • Enter the SECOND FOUR (or remaining) DIGITS ONLY  

  • If you are sending a check or USPS money order please indicate:

  • I will mail a check along with my application and documentation
  • I will mail a USPS money order along with my application and documentation
  • Charge or Debit Card applicants, please complete the following:

    Your Name as it appears on your charge or check debit card:

    Payment Method
    Check Debit
    American Express
    Diners Club
    Carte Blanche

    Card number:
    Expiration Date
    Card Verification Number (CVV Code) (See below)
    American Express: 4 digits on front of card
    All other cards, 3 digits on back

    After printing this form for mailing, please sign here:

    International shipping cost (U.S. veteran living outside the United States, please add the shipping cost you were quoted...

  • Yes, add 20 cents to my total
  • No, I don't want to track my package

  • Your Application Form is now complete. After clicking the grey-bar button below to send this Form you will soon receive a confirmation email

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    Records Chief (REC-AMW)
    The American War Library
    817 East Via Carmelitos
    Virginia Building 319
    Long Beach CA 90805-7549
    Phone: 1-562-422-4100 (Pacific Time Zone)

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