carrier air CALENDAR^© 2011 / TIN CAN CALENDAR^© 2011
Roll Call Enrollment Form

Please provide the contact information requested Please also be sure to supply information about the ship and veteran to be included in the Carrier Air Calendar^©  or  Tin Can Calendar^© 2011 Roll Call:

Each edition of Carrier Air Calendar© and Tin Can Calendar©  includes a "Roll Call" listing the names of  veterans and their ships.  The information requested below is used to create the Roll Call entries. This form enables the listing/updating of Roll Call data for one veteran and one ship only.
PART 1:	Sponsor information (Items with an * are required).
Sponsor Name*:
Sponsor Mailing Address*:
Sponsor City*:	State*: Zip*:
Sponsor Email*:
Phone*:
Sponsor type::*	Select choice below Veteran enrolling himself/herself Veteran enrolling another a shipmate or squadron-mate Family member or friend enrolling a veteran If sponsor is a family member, please specify relationship (e.g. spouse, son, granddaughter, nephew etc.):
Calendar Choice:*	Select choice below Carrier Air Calendar 2011 Tin Can Calendar 2011
Enrollment type:*	Select choice below New enrollment Updated Enrollment
# of Copies to Reserve:* :	none one two three four five six seven eight nine ten	There is no obligation to purchase a copy of Carrier Air Calendar© or Tin Can Calendar© in order to have a veteran's name included in a calendar Roll Call. But we certainly hope you will
PART 2:	Roll Call information (Items with an * are required).
Name of Veteran to be enrolled:.*	Even if the same as "Name" above, please re-enter the information. Enter one name only and please enter name using both upper and lower case letters as you wish it listed in Roll Call
Name of ship on which Veteran served:*	Please list one ship only. (If you wish to have additional ships or veteran names represented in Roll Call, fill out a form  for each additional ship and/or veteran name.) Please limit ship name to U.S. Navy carrier or destroyer types and please list hull number. If the ship named above is an aircraft carrier and the veteran served in a deployed U.S. Navy air squadron (not as part of ship's company, please provide the squadron designation
Veteran's dates of service while aboard this ship:	Start Year:    End Year:
Veteran's rank/rate/rating  while aboard this ship:
Do any of the following apply to the veteran listed above? (please click on each of  the options that apply)	Veteran is a "plank owner" of the ship listed above Veteran is a Purple Heart recipient for wounds received in combat Veteran is deceased. Veteran is deceased and was either killed in action or lost at sea If veteran is deceased and you wish his/her name to be listed in the "Taps" section of a calendar, please provide the following information: Birth Year:     Decease Year: What was the deceased veteran's highest rank/rating/rate during his/her U.S. Navy career?: