Roll Call Information Form

Incidentally, this form only sends the information to Robert Tracy's email.
That much is automatic. 
But note that from there Mr. Tracy has to hand code it to get your information published.
Therefore, bear with me.
Signed:  Robert Tracy (Webmaster)

Name:
Rank:
Company/Platoon:
Years:
Status: ( Ex., Living, KIA, WIA, Retired, Reserves)
Home of Record:
Email Address:
Phone Number:

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