Eternal Patrol Entry

Please fill in the following information to add a crewmember to the Eternal Patrol Listing

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Crew-members Name *

First

Middle

Last

Please enter the Crew-members name to be added to the Eternal Patrol Listing

Crew *— Select Choice —BlueGoldBoth

Please enter the Crew he served on.

Rank/Rate *

Please enter the Crew-members highest Rank/Rate

Plank Owner? *

• Yes
• No

Please indicate whether the Crew-member was a Plank Owner of the USS John Adams

Please tell us a little about his passing

Please include obituary link or other information so I can create a tribute post for him.

Submitter

Please enter your information in the fields below as the submitter

Submitter Name *

First

Last

Please enter your name (as the submitter)

about Submitter passing

Submitter Email *

Please enter your Email as the submitter

Submitter Phone

Please enter your phone number as the submitter.

Submit