Personal Date (private information such as your email and address will not be included in the book) Name First Last NicknameAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Work/Cell PhoneHome PhoneEmail Date of BirthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Place of BirthName of High School & Year GraduatedName of College(s), Degree(s) EarnedIf you have already written your story, upload it here or use the next field to type itMax. file size: 300 MB.Type your story hereType the captions for your photos hereUpload imagesMax. file size: 300 MB.JPEG, TIFF, or PNG files only. For best reproduction in print, file size should be 500kb or larger. The first photo is free; additional photos are $15.00 each. Military Information Date / Place EnlistedBoot CampAdditional Training / Special CoursesDates Attended DI School/LocationYears Assigned as Drill InstructorOther Bases/Locations/StationsTheaters / Battles / EngagementsAwards / Medals receivedMemorable Experiences During Military ServiceDate / Place DischargedRank Professional / Retired Information Professional / Jobs (places worked / positions / tenure)Professional affiliationsYear retired (if applicable)Activities in RetirementName of SpouseNo. of ChildrenName(s) of ChildrenNo. of GrandchildrenName(s) of GrandchildrenThank you for submitting your history and photos. While no book purchase is required for your submission, only those who order in advance at the special pre-sale price are guaranteed receiving a copy of the book. To reserve your copy now, scroll to the top of the page.Thank you for submitting your history and photos. While no book purchase is required for your submission, only those who order in advance at the special pre-sale price are guaranteed receiving a copy of the book. To reserve your copy now, scroll to the top of the page. Have any questions or want to get in touch? Contact Us