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  PRD-1 BL                                                               ANK Patch
ASA WORLDWIDE
DATABASE INPUT FORM
Maintained by Vern Greunke  - (05D)
Register yourself in the ASA Database & I will eMail you
the Password for the ASA On-Line Database
If You Are ALREADY REGISTERED... CLICK HERE

Any information you DO NOT WANT RELEASED type "N/A" in its place)
Name:  
Address:  
City:  
State:    Zip Code  
Phone Number - Use Format: 555-000-9999  
ASA MOS:      
Duty Station #1:      Year Arrived At #1:  
Duty Station #2:      Year Arrived At #2:  
Duty Station #3:      Year Arrived At #3:  
Enter Your VALID e-Mail Address:   
(note: I USUALLY respond and acknowlege ALL input data within 24 hours.
If you receive NO response from me  please re-enter your data or contact me directly.
You will receive the password scheme data at that time.   Thanks!   - Vern