E M B S, APPRECIATES 'R' VETERANS
A WELCOME HOME VETERAN PROGRAM
1960 ADELAIDA ROAD, Paso Robles, CA 93446 •••
(805) 226 - 9452, D'ANDREA FOUNDATION YOUR VETERAN'S STORY CONTACT US
PURPOSE: To collect the Veteran's Story and accumulate them into a Newsletter and
One book to help others not feel alone. (See
Newsletter or Webmaster
My Story samples.) Print the following SUBMITAL AND RELEASE OF LIABILTY form as:
Complete the form and with YOUR STORY Email to: EMBS@dandreafndn.org or
Regular Post to: EMBS, 1960 Adelaide Rd., Paso Robles CA, 93446, ATTN: D'Andrea
E M B S, APPRECIATES 'R' VETERANS
A WELCOME HOME VETERAN PROGRAM
1960 ADELAIDA ROAD, PASO ROBLES, CA 93446 - - -
(805) 226 - 9452, D'ANDREA FOUNDATION
YOUR VETERAN'S STORY - - - SUBMITTAL AND RELEASE
YOUR NAME
STREET ADDRESS, CITY, STATE, ZIP CODE
PHONE NOS.
EMAIL
NEAREST MESSAGE PERSON NAME AND PHONE NUMBER
RELEASE OF LIABILITY AND PERMISSION SLIP
EMBS - APPRECIATES 'R' VETERANS, For Activities or a Fund Raiser ...
A W E L C O M E H O M E V E T E R A N P R O G R A M
D'Andrea Foundation - Protect the Family You Fought For!
YOU HAVE MY PERMISSION
PRINT NAME
To put any pictures, your story, information about me, my spouse
(my immediately family) I've given to you to be used in the Newsletter or any form of future book publication,
"Our Stories."
We understand this information could profit and continue to support the "A Welcome Home Veteran Program,
D'ANDREA FOUNDATION, EMBS (non-profit org) (805) 226-9452 (leave a msg.)
I agree to release any liability and give you permission as a Volunteer Worker.
I agree to allow the information about me to be printed in any material, newspaper, magazine that is promoting to the
growth of D'Andrea Foundation. Our main purpose is to try to Strengthen, & BOND the Family Unit, Veteran and Spouse, through EMBS:
Enhancing Mind, Body and Spirit, by giving you the Honor you deserve.
SIGNATURE:
Recipients of Gifts, Volunteer or Participate
Complete the form and with YOUR STORY Email to: EMBS@dandreafndn.org or
Regular Post to: EMBS, 1960 Adelaide Rd., Paso Robles CA, 93446, ATTN: D'Andrea
Once approved, edited, proofed (and subited to you for final approva)
YOUR STORY wil appear in www.VeteransStories.org
