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Registration is now CLOSED!

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Individual Registration

First name*

Middle Initial

Last name*

Email*

Re-Type Email*

DOD Email

Branch Of Service*

Rank*

Type of Service*

Phone*

DSN Phone

Birthday*

Day

Month

Year

You Must Fill out A Full 4 Digit Year

Gender (Dutch Requirement)*

Male

Female

Contact us: Usdodmil.4daagse@gmail.com

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