Veteran Corps of Artillery State of New York

* indicates required

Email Address *

First Name

Last Name

Middle

Rank

Your current VCA Rank or Separation rank if not VCA

VCA_ID

Assigned by the VCA - Leave blank if unknown

Date of Birth *

Address

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Country

Home Phone

( ) -

Work Phone

( ) -

Fax

( ) -

Cell

( ) -

Pay Grade

Position *

Current Assignment - Firing Battery, Rifle, PA, etc.

USFAA ID

Enter your US Field Artillery Association ID

NRA ID

Preferred format

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