OBSOLETE FORM please navigate to: www.asalives.com THANKS!
 PRD-1 BL                               ANK Patch
ASALIVES.COM - the ASA WORLDWIDE
DATABASE INPUT FORM
Maintained by Vern Greunke  - (05D)
Register yourself in the ASA Database & I will eMail you
the URL & Password scheme for the ASA  Searchable On-Line Database
If You Are ALREADY REGISTERED... CLICK HERE

NOTICE!!!!
If by some chance your input form data should "BOUNCE BACK" please re-register at this url:
https://members.tripod.com/~vgreunke/bravform2.html
THANKS!!

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  
Your  Army Security Agency 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