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Gender

Military Information

Branch of Service(required)
Honorable Discharge?(required)

Other

Emergency Contact

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u003cstrongu003eAUTHORIZATION: By selecting u0022Yesu0022 below and submitting this application, I authorize the verification of the information on this form as to my military service and allow Brady Oberg Legacy Foundation to contact me at the address and phone number provided:u003c/strongu003e(required)
u003cstrongu003eu003cstrongu003eAre you currently serving in the militaryu003c/strongu003eu003c/strongu003e?(required)

If no, please email a copy of your DD214 to: oberglegacy@gmail.com.

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Thank you for your interest in the Brady Oberg Legacy Foundation. We thank you for your service!