VA facility registration form

Your contact information will be used by the Home of the Brave Campaign Working Committee and Site Coordinators. You will be included on Home of the Brave general communications and monthly news updates. Though we may not be able to provide all sites with volunteers, we will make every effort to provide Veterans at your facility with t-shirts, thank you cards, and support for programs, drives, and patient visits between November 1-15.
T-shirts for Veterans will be ordered based on the number of beds at your facility. As soon as the registration form is completed, follow the link at the bottom of this page to order shirt sizes. If a t-shirt order form is not completed, we will do our best to estimate sizes based on past experience.

Mailing address

Items for veteran patients will be shipped directly to the VAVS office, the address should be entered below. Please ensure the complete address is listed on this form to ensure delivery (no P.O boxes). 

Example address

Clement J. Cablocki Veterans Affairs Medical Center

Voluntary Service, 135
5000 W. National Avenue
Milwaukee, WI 53295-0001

Select one or more of the activites you would be interestd in for your Veterans Day celebration:

Ready to order t-shirts? Follow the link below to access the t-shirt order form.

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