Custer County Memorial Day Remembrance Submission Form
Please fill out the form to honor a loved one's military service and upload a related picture. The information provided will be placed into a slide show and placed on the Spencer-Young VFW Post 12063 Website (www.vfw12063.org) once completed.
Full Name of Service Member
*
First Name
Last Name
Rank
Branch of Service
Please Select
Army
Army Reserve
Navy
Navy Reserve
Air Force
Air Force Reserve
Marine Corps
Marine Forces Reserve
Coast Guard
Coast Guard Reserve
Space Force
Space Force Reserve
Unknown
MOS/Job Title
Conflict Fought In
World War II
Korean War
Vietnam War
Gulf War
Iraq War
Afghanistan War
Other
Not applicable
Date of Birth
-
Month
-
Day
Year
Date
Date of Death
-
Month
-
Day
Year
Date
Upload a Picture of the Service Member
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Additional Details or Remembrance
Submit Remembrance
Should be Empty: