Questions About This Form? Use Email
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 amerwar@amervets.com 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...
VETERAN'S LAST Name:
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:
City:
State:
ZipCode:
Phone (NO SPACES OR DASHES):
Full and complete contact email address:
SERVICE NUMBER:
If you are sending a check or USPS money order please indicate:
Charge or Debit Card applicants, please complete the following:
|
Your Name as it appears on your charge or check debit card: 
Check DebitVisa MasterCard American Express Discover Diners Club Carte Blanche Card number:
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...
Your Application Form is now complete. After clicking the grey-bar button below to send this Form you will soon receive a confirmation email
Print a copy for yourself before clicking the bar below.. Please lower your mouse then wait a moment for your info to be logged.
Other Recognition Replacements
Since 1988 © The American War Library | Home | Business Card
American Express: 4 digits on front of card
All other cards, 3 digits on back