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 Gathering MA Information at a 
Funeral 
A classmate’s funeral normally provides an excellent opportunity to gather 
information while it is readily available and thereby simplify the process of 
completing his Memorial Article. When attending such a service, please assist in 
that effort by filling in as many of the blocks below as possible, doing so 
within the normal confines of respect and dignity for the deceased's loved ones. 
Information so acquired should then be forwarded to the Memorial Articles 
Liaison for the deceased’s company. Company MAL’s are hyperlinked at:
http://www.usma1954.org/Contacts/MALiasons.htm.
 
  
	
		| 1. GENERAL 
		INFORMATION | 
	 
	
		| Name of 
		Deceased | 
	 
	
		| Cadet Company: | 
		  | 
	 
	
		| Date of 
		Death | 
	 
	
		| Place of 
		Death (City & State) | 
	 
	
		| Cause of 
		Death | 
	 
	
		| Place of 
		Burial | 
	 
 
  
	
		Classmates 
		and other graduates attending 
		the service | 
		
		Contact Information | 
		
		Relationship 
		(room/teammate, etc.) | 
	 
	
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		Classmates and grads (besides those above), or others who were close to 
		the deceased as a cadet, in military service, or subsequently | 
	 
	
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		Did any family member, classmate, or other discuss/volunteer to write or 
		contribute to the memorial article?    Yes     No 
		If yes, please provide name, contact info, and any other pertinent 
		information. 
		  
		  
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		Others possibly willing to write or contribute to the memorial article: 
		  
		  
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		Was there a eulogy?     Yes     No 
		If yes, please provide pertinent information of the person delivering 
		the eulogy and try to obtain a copy. 
		  
		  
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		Eulogy attached?    Yes     No | 
	 
	
		
		Is a memorial fund being established?    Yes     No 
		If yes, please provide information.  
		  
		  
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		| 2. NEXT OF 
		KIN | 
	 
	
		| Name | 
		Relationship | 
	 
	
		| Address | 
		Phone # | 
	 
	
		| 
		City | 
		State | 
		Zip | 
	 
	
		| E-mail 
		address | 
	 
	
		Will this be 
		the NOK residence for the near future?    Yes     No     Unknown 
		If no, forwarding address: 
		  
		  
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		| Address | 
	 
	
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		City | 
		State | 
		Zip | 
	 
	
		| E-mail 
		address | 
	 
	
		Is there 
		someone who the NOK would prefer to write or contribute to a memorial 
		article?    Yes     No 
		If yes, name and contact information: 
		  
		  
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		| Address | 
		Phone # | 
	 
	
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		City | 
		State | 
		Zip | 
	 
	
		| E-mail 
		address | 
	 
 
  
	
		| 
		Surviving Children | 
	 
	
		| 
		Name & Contact Info   | 
		
		Est. Age | 
		
		 USMA Grad/Class | 
		
		Other Info | 
	 
	
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		3. OTHER INFORMATION | 
	 
	
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		As appropriate, please mail or e-mail this form and any items listed 
		below to the Memorial Articles Liaison for the deceased's company. | 
	 
	
		  Photo(s) of 
		the deceased acceptable to next of kin | 
	 
	
		  Copies of 
		all eulogies available | 
	 
	
		  Copies of 
		newspaper articles relating to the deceased | 
	 
	
		  Mass cards 
		or other memorial service handouts  | 
	 
 
  
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