Name of Serviceman/woman:

Hometown:   City:    State:

Branch of Service:

Name of unit or vessel:

ID number:

Where posted overseas:

Your name:

Relationship to Serviceman/woman: Husband Wife
(benefit limited to spouses at this time)

How many dogs? Their names?:

How many cats? Their names?:

Hometown:   City:    State:

Store you would like to buy from: City:    State:

Your email address:

Comments:

When arrangements have been made with the store, we will contact you with a voucher for free or discounted food to be used at the store.

I understand and accept the rules of this program: Yes No