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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 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...



SELECT THE ITEM YOU WANT

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

Spanish-American War Veterans Medal
Original Issue medal
$150.00
Fall of the Berlin Wall
Official Commemorative Coin
Original Issue
Gold-plated (m6)
$60.00
Spanish-American War
(Aged)
1912 Encampment, Philadelphia PA version
Original Issue
$60.00
WW1 Army Signal Corps Medal
(Aged)
Original Issue
$60.00
Korea Defense Service
Non-government issue
Non-official Commemorative
Recent Manufacture
$10.00
Belgium Medal of Merit
(Au Merite)
Original Issue
$40.00
French Croix de Guerre
WW1
Original Issue
$40.00
French Order of Merit
Agriculture
Original Issue
$40.00
Veterans of the Spanish American War, Lapel/Tie PIN
Original Issue
$10.00
France Medaille Militaire
Original Issue
$40.00


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:

  • 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
    Visa
    MasterCard
    American Express
    Discover
    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
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    Long Beach CA 90805-7549
    Phone: 1-562-422-4100 (Pacific Time Zone)

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