Rank (if possible)

*Name

*Gender

Male Female

Military Address Line 1

Military Address Line 2

Military Address Line 3

Military Address Line 4

*Scheduled to return to the US (Month & Year)

Your email address

If submitting for a whole unit, please let us know the number of males/females.  We will send all packages C/O one name, Officer or Enlisted person, and the box will indicate if it is for Male or Female personnel on the label.

# of Males

# of Females