Form DD 2956 DD 2956 Vietnam War Commemoration Commemorative Planned Events

OMB No.
OMB approval expires

VIETNAM WAR COMMEMORATION
COMMEMORATIVE EVENTS REQUEST

The public reporting burden for this collection of information is estimated to average XXX per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive,
Alexandria, VA 22350-3100 (XXXX-XXXX). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a
collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS BELOW.

INSTRUCTIONS
Events requests are made by filling out and submitting this form to the United States of America Vietnam War Commemoration
Events Team, with as many details as possible, a minimum of 90 days in advance of the event start date.
Events are submitted via one of the following four methods:
Select the "Submit" button at the bottom of this form (preferred).
Email to: [email protected]
Fax to: 703-692-4691
U.S. Mail to:
The United States of America Vietnam War Commemoration
Attn: Events Team Chief
1101 Wilson Blvd.
Suite 810
Arlington, VA 22209

D R A F T

1. ORGANIZATION NAME AND WEBSITE:

2. EVENT POINT OF CONTACT (Name, Email and Telephone Number):

3. EVENT TITLE:

4. EVENT LOCATION AND ADDRESS:

5. ANTICIPATED ATTENDANCE:

6. TENTATIVE DATES (Month, Day, Year):

7. PURPOSE OF EVENT (How will Vietnam Veterans be honored and which Commemoration objective(s) will be accomplished with this event?):

8. COMMEMORATION OFFICE REQUESTED ROLE:
a. SPEAKER/REPRESENTATIVE:

b. MATERIALS (The following items may be provided for your event based on availability:)
(1) ITEM NOMENCLATURE

(2) QUANTITY REQUESTED

Brochures
Tie Pins: Eagle, Seal, Veteran
Stickers: Eagle, Seal, Flag, "I Served"
Presidential Proclamations
9. IS MEDIA COVERAGE ANTICIPATED?

DD FORM X623, 20130627 DRAFT

Submit

Adobe Designer 9.0