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Marital Status *
Sex *
Are you a United States military veteran, active military, or a first responder? *
Branch of Service *
 
Campaign *
 
Have you ever been convicted of a NJP, Court-Martial, Or Felony? *

If you dont have access to your file electronically, please mail a copy to Paws of War, 127-6 Smithtown Blvd.
Nesconset, New York 11767 

Medical History

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