(Form removed 3-14-99)
Select "File" and "Print" on your browser to print the form above. Fill the form out and mail it to:

LTC GIL COERPER
16591 Dale Vista,
Huntington Beach, CA 92647

You will be contacted and notified of the status of your application.

If you have questions, you may contact:

LTC GIL COERPER 1st BN 558th Inf Exp Commanding
(714) 841-3008 (Voice & Fax)
(562) 795-2066/2067 (Los Alamitos Post Trailers)
glcoerp1@GTE.net (email)

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