1-82 CAV DTS FORM

Instructions – Type the following information in each field. After completing the form, go to FILE, then SAVE AS, then name file with your last name then FIST DTS (example LAWSON DTS FIST), save form to your computer then email the attached file to mathew.h.lawson@gmail.com.

SSN:First Name:Middle Name:Last Name:Organization Name: HHT/1-82 CavalryEmail:Civilian / Military: CivilianMailing Address Line 1:Mailing Address Line 2:City:State / Country:Zip/Postal Code:

Personal DataGender: MaleResident Phone Number:Cell Phone Number:Emergency Contact Name:Emergency Contact Phone Number:

Duty Station DataPrinted Organization Name: HHT/1-82 Cavalry Present Duty Station Name: Bend, OregonDuty Station Address Line 1: 875 SW Simpson Ave Duty Station Address Line 2: N/ADuty Station City: BendDuty Station State / Country: Oregon, USADuty Station Zip/ Postal Code: 97702Duty Station Phone Number: 541-383-0955