Adoption Inquiry Form

Adoption Inquiry Form (Unit)

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Until your session expires

Your Details

First Name*

Last Name*

Email*

Phone number*

Ext.

Work Mobile Home

Address Line 1*

Address Line 2

City*

State/Province*

Postal Code*

Country*

Additional Information For Your Form(s)

1 X Adoption Inquiry Form (Unit)

I would like to receive e-mail from America Supporting Americans

Required

Email Format:

Optional

I would like to receive postal mail from America Supporting Americans

Required

Please provide name of unit including branch of service.

Required

Characters Remaining: 500

If unit is deployed, please provide APO/FPO. If unit is not deployed, please provide name and address of home base. (Omit if same as above above.)

Required

Characters Remaining: 2000

If you are a unit member, what is your rank and position in unit?

Required

Characters Remaining: 500

If you are not a unit member, please describe your relationship to the unit.

Required

Characters Remaining: 2000

Please provide Commander's name or POC, if it's someone other than you.

Required

Characters Remaining: 500

Please provide Commander/POC email address, if other than email listed above.

Required

Characters Remaining: 500

Please let us know if there are particular cities you are interested in having adopt your unit.

Required

Characters Remaining: 2000

Additional comments and requests:

Required

Characters Remaining: 2000

How did yuo hear of the ASA Adopt-a-Unit Program? (Choose one.)

Required

Please provide any additional information needed to complete your answer to question #10. Thank- you!

Required

Characters Remaining: 2000

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Your Details

Additional Information For Your Form(s)

1 X Adoption Inquiry Form (Unit)

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