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Personalized Flag Presentation Report

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Report Date

State

Flag Presentation Date

Time Event Started

Time Event Ended

Flag Request Status

Brief Description of Event (Include names of people in attendance, estimated number of people in attendance and groups that attended)

Image

Flag Request ID (from Flag DB)

Name of Person or Family Receiving Flag

Relationship to Service Member

Recipient Street

City

State

Zip

Email of Recipient

Phone number of recipient

Service Member's Name

Rank

Service Branch

War/Service Period

Gold Star Family Coordinator Signature

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