Last Rank in Unit

Name of Spouse/Reunion guest (first and last names).

  If you served in the 221st, please fill out this form to be added to the  Combined Company Roster.
  If you encounter any problems, email pberk@berks.com   

My tour began in

Nickname (optional)

Last Name

My tour ended in

Enter any additional tours in the box below

Enter any questions or comments in the box below

First Name

Reside in: STATE

Reside in: CITY

Describe your job(s) while in the Unit

221st Vets leave blank-otherwise explain relationship

MOS (if known)

E-mail Address (required)

221st Combined Company Roster

Check box if Ok to share e-mail

address with other 221st Vets.

If you have any problems filling out this form, please contact: pberk@berks.com