If you are filling this form out for a friend or deceased family member, try to include as much information as possible. Persons who flew the aircraft listed for allied nations may "modify" the form to fit the organization of your nation's forces at the time. Thank you for taking the time to help the museum in locating these former crew members.

NAME____________________________________________________________________

ADDRESS_________________________________________________________________

CITY___________________________________________________________________

STATE__________ZIP CODE___________PHONE (_____)________________________

IF RETIRED MILITARY:RANK AND BRANCH OF SERVICE_________________________

B-24/PB4Y-1/2 UNITS SERVED WITH (PLEASE CIRCLE AIRCRAFT TYPE)

AIR FORCE(S)_______________________________________________

BOMB GROUP(S)______________________________________________

SQUADRON(S)________________________________________________

THEATER OF OPERATION [USA] [ETO] [PAC] [CBI] [ALASKA] OTHER____________

JOB(S) AIR CREW____________________GROUND______________________________

B-24 AIRCRAFT NAME(S)__________________________________________________

_______________________________________________________________________

WHERE TRAINED_________________________________________________________

IF CADET: CLASS# OR GRADUATION DATE ______-______ ___/___/____

TODAY'S DATE___/____/____

MEMBER OF ANY B-24 ASSOCIATIONS? PLEASE LIST__________________________

______________________________________________________________________

COMMENTS:_______________________________________________________________

______________________________________________________________________

IF POW, WHERE AND DATES?______________________________________________

________________________________________________________________________