Do you know someone in the military you'd like us to sponsor?

Simply provide us with the information below and we'll add them to our list!

Remember, all information is private and confidential and will not be shared with any other persons or organizations!


First Name of Soldier:
Last Name of Soldier:
Rank:
Address 1:
Address 2:
City or APO FPO:
State or AE AP:
Zip:
Country the person is serving:
Hometown of Soldier:
Birthdate of Soldier (day/month):
Estimated Deployment Dates
Arrival:
Return Home:
Your Name:
(so in our introduction letter we can explain who we got their name from)
Relationship to the soldier:
(in case it's necessary to contact you)
Your Email Address:

Questions or comments about Military Mom in Action?

Email milmom@nycap.rr.com

Call us: 518-235-0365

Or write to us at:

Military Mom in Action
P. O. Box 153
Melrose, NY 12121-0153