Vietnam Veterans Recognition Ceremony

Rep. John Evans is searching for veterans who served in the United States Armed Forces during the Vietnam War era and who live in the 5th Legislative District to honor at a ceremony to be held Friday, Sept. 17.

Vietnam War veterans, their families or loved ones are asked to fill out the form below to register for the event.  You may also download a form that you can fill out and send back to my office, here.

First Name *
Last Name *
Home Phone *
Email Address *
Address *
City *
Zip Code(5-Digit) *
Branch of Service:
Rank and Years of Service:
Number of family members who will be attending the event: *