ADD A NEW NAME SUBMISSION

Read all before submitting


Make a copy of the DD-214 

(you can redact the SS#)

Scan the copy and attach it

to an Email along with what  

 you want the engraving to say.


1st Line: NAME (all caps, only letters)

(LASTNAME FIRSTNAME MI)

2nd Line: BRANCH (KIA if applicable)

(ARMY or MARINES or NAVY or AIR FORCE

or SPACE FORCE or COAST GUARD)

(one branch only)


Example...

DOE JOHN A 

COAST GAURD (KIA if applicable)

OR

Make a photo copy of the DD-214 and email to:

coffeyvillevmp@gmail.org

or Postal Mail to:

Coffeyville Veterans Memorial Park Association

PO Box 213, Coffeyville, KS. 67337

Be sure to Include your Name & Phone #


Requirements:

Must either live(d) or have been

raised within 10 miles of the 

Restlawn Cemetery. 

(Cline & Woodland, Coffeyville, KS.)

Depending on how many names apply WITHIN

10 mileswe will extend the eligibility to 20

and then 30 miles.


Must have been Honorably or 

General Under Honorable conditions discharged

or be an active duty soldier with over 

180 days service. to be eligible for inclusion. 


MAKE SURE YOUR DISCHARGE TYPE IS ON THE DD-214


If you are doing this on behalf of a deceased

soldier and they were killed in action, 

let us know in the letter to us by noting

KIA after the branch.

(DO NOT SEND PICTURES OF ACTIVE DUTY MILITARY ID's 

DUE TO MILITARY REGULATIONS)

Contact us instead at coffeyvillevmp@gmail.com

(620) 870-2810