Perpetual Memorials
~Eternal Tributes~

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Memorial Application Form
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Click HERE for an example of a typical Memorial Page. Of course, each page will be different, but this
will give you an idea of what information is needed, or what other type of information you might want to add.
You can have up to 3 photos, you may pick your own music, add your own guestbook
and if this person is a Vietnam veteran, listed on the Vietnam Memorial Wall
in Washington, we can add a "Virtual Rubbing" also.

A $500.00 contribution to I.B.O.W.W. entitles you
to one Perpetual "Eternal Tribute" Memorial page for a loved one,
they must be deceased AND a military veteran that served
in the United States Of America.

NOTICE TO MEMBERS ONLY:
If you are a member of I.B.O.W.W. we will deduct
your membership dues from the cost of your Memorial Page.
You will be reimbursed within 30 days from receipt of your Memorial
Page payment. The type membership you've chosen will determine
the amount reimbursed to you.

We accept Visa or Mastercard. Click on the PayPal button above,
you will be transferred to a secure server where you can enter your credit card information.
If you don't have a PayPal account, you'll have the opportunity to create one.

You will be brought back to this page once your submission is complete.
Please fill out the rest of the information on this page
and submit it for our records.

If you prefer, you may pay by check or money order.

Please make it payable to:

International Brotherhood Of Walking Wounded

Address to mail it to:

7009 Prospect Avenue NE, Suite 205
Albuquerque, New Mexico USA, 87110-4331

All proceeds from these memorial pages
will help fund the missions or our former combatants
with other former combatants of the world!

By submitting this application, you will be notified
by someone here at I.B.O.W.W. to get further information and/or
graphics needed to create your Memorial page.
Thanks for your support!

Contact Information    (Person to contact re: Memorial page information)
Contact persons name:	Home address:
City:	Select State Non-US resident Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Washington D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming No Selection  Zip:
Select Country USA Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Azores Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Borneo Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territories Brunei Bulgaria Burkina Faso (Upper Volta) Burundi Camaroon Cambodia (Kampuchea) Canada Canary Islands Cape Vere Islands Cayman Island Central African Rep Chad Chile China Christmas Island Colombia Comoros Islands Congo, Democratic Republic of Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritria Estonia Ethiopia Falkland Islands Faroe Islands Fed Rep Yugoslavia Fiji Finland France French Guiana French Polynesia Fyro Macedonia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar (Burma) Namibia Naura Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Qatar Republic of Korea Reunion Island Romania Russia Rwanda Saint Barthelemy Saint Croix Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and Grenadi San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Northern Region Somalia Southern Region South Africa South Sandwich Islands Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islnd Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands (United Kingdom) Wallis and Futuna Islands Western Sahara Western Samoa Yemen Zambia Zimbabwe (Rhodesia)	Phone number:
E-mail address:	Homepage URL:
How did you find us? Select From Below Through the volunteer program Through a search engine Link from another web page A friend told me Stumbled across it accidentally From a web ring Other	Male       Female       Age
We have a volunteer program in progress, so if someone referred you, please type in their name below so we may give them credit! After you become a member, you might also want to join our volunteer program and make some extra cash too!
Referral Name:

 

Memorial Persons Information
Memorial Persons Complete Name: First: Middle: Last:  Nickname (if any):	Date of Birth: Gender: Male Female Place of Birth:
Are there photos to submit? Yes       No       If so, how many? (3 max.) 1       2       3	Choose type of photo submission: Originals       Scanned       Other
Regarding ORIGINAL PHOTOS Please send originals by MAIL, along with a copy of this application to: 7009 Prospect Avenue NE, Suite 205 Albuquerque, New Mexico USA, 87110-4331 include a SASE for return of Original photos.	Regarding SCANNED PHOTOS Email all scanned photos to: SargeFowler@aol.com Please include your name, email address and memorial persons name.
Is this person a Viet Nam Veteran? Yes       No If so, is this person listed on the Vietnam Veterans Memorial Wall in Washington D.C.? Yes       No If listed, would you want a Virtual "Rubbing" included on their Memorial Page? Yes       No
Do you want music played on their Memorial page? Yes       No If so, please list song preference?	Please choose a 2nd music choice below in case your music preference is not available: Select From Below Brothers In Arms Taps Amazing Grace Wind Beneath My Wings Bridge Over Troubled Water While My Guitar Gently Weeps Angels Among Us He Ain't Heavy, He's My Brother
Would you like a guestbook on their Memorial page? Yes       No
In the Biography Information below, please include combat service, medals awarded, life history, date of death.
Obituary Information:	Biography Information to Include:
Additional Information:	Questions or Comments:

Your Memorial application form will be processed as soon as possible. If you have any other questions, please feel free to email us at: joiniboww@aol.com We will contact you as soon as possible!

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