Make your own free website on Tripod.com
Vern BLANK PRD-1 BLANK Patch
ASA WORLDWIDE
DATABASE INPUT FORM
Maintained by Vern Greunke  - (05D)
Register yourself in the ASA Database & I will eMail you
the URL & Password for the ASA On-Line Database
If You Are ALREADY REGISTERED... CLICK HERE

Please Read Privacy Disclaimer Before Entering Your Personal Data
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



Vern Greunke - heyvcolorvgreunke@bigfoot.com
 
Nedstat Counter 
FastCounter by LinkExchange