Dear Marine/Soldier,

We would like the following only for our records and is not required form you.

Your family contact email is: , and phone number:

Your home state:

How did you find out about the Adopt a Marine Program at RyanRust.com?

Dear Marine/Soldier,

Please supply the following information: this info will be given to the person(s) that abopt you.

Your Email address:

Can we give your sponsor your email address? YES NO

Rank & Address Name

Address Line 1

Address Line 2

Address Line 3

Deployment Dates

Deployment Area

Do you have a microwave available to use? YES NO

Do you have a way to boil water for coffee/soup? YES NO

Your Requests: (If you request such things as batteries, please be specific as to size & quantity for your use)