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*What Country Did You Serve (required) AustraliaCanadaGermanyFranceUnited KingdomUnited States Of America
*What Branch Of The Military Did You Serve (required) Air ForceArmyCoast GuardMarinesNational GuardNavy
*Your Discharge Rank (required):
*Military Entry Date (YYYY-MM-DD required)
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*What Type Of Discharge Did You Receive (required) HonorableGeneralDishonorable
*Did You Serve In Any Of The Following Conflicts (required) AfghanistanIraqKuwaitVietnamWord War IIOtherNone
*Were You wounded in any conflicts NoYes
*What Is Your Computer Skills Level (required) I know nothingAverageAdvanceExpert
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