Bandon Historical Society Museum

P.O. Box 737 Bandon or 97411, 541-347-2164

BANDON AREA VETERANS

Bandon, Bear Creek, Four Mile, Langlois, Prosper, Riverton, or Two Mile Area

 

 First Name:______________________ Middle Initial :______

Last Name:_____________________________________________

 

Place of Birth________________

Attended Bandon School:   Yes  or No       Years__________________

Branch Of Service: __________________ Ranks:_______________

Years Served:____________________________________________

Location Served:__________________________________________

Served In Action or Conflict:   Yes _______      No __________

Where_______________________  When :____________________

Prisoner Of War:    Yes______   No_______  

Where: ______________________  When: ____________________

If Family Member was killed In Action

Where: ______________________  When: _____________________

Date  of Veterans Death :_______________

 

 

     Veteran Background or A Bit of Military History  can be attached      on another sheet of paper, typed or computer, Please.

 

Veterans or Contact Person Giving us above Information: ____________________________________________________

Phone____________________Email                   

Today’s Date ______________