First Name:*
Middle Name:
Last Name:*
Address 1:*
Address 2:
City:*
State:*
Zip Code:*
Country:
Phone Number:*
Email Address:*
First Name*
Middle Name
Last Name*
Street Address*
(If still living.)
Street Address 2
City*
State:*
Zip Code:*
Country:
Veteran or Civilian
Still living?
Branch of Service
(if veteran)
Service Dates
(example: 1940-1945)
Theater of Service
City of Birth
State or Country of
Birth?
Comments /
Additional Information:
Questions?  Please contact the Central Florida WW2 Museum:
Phone:  (813) 504-3826

Email:  vhp@cfloridaww2museum.org
Information about you, the donor
* required information
THE VETERANS HISTORY PROJECT
Preserving the Past for Our Future
Registration
Information about the person whose stories you are collecting
Before you fill out this form, please be sure that you understand what the Central Florida WW2 Museum collects.

Please fill in all required information.  Your contact information will not appear on the Museum or Library of Congress
Web sites, but will be maintained in secure administrative databases.

If you or your veteran live outside the U.S., please feel welcome to assist with this project.