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Military Program > Program Request
Request for United Through Reading® Program at your site

Please complete the following questions to the best of your knowledge and send via the submit button at the end of the form. A United Through Reading National Program Manager will respond to your request for information. Thank you for your interest in United Through Reading® Military Program, a program of United Through Reading.

Your Information:

* = required info

*Your Full Name

*Rate/Rank

*Email Address

Phone (if available)

*Identification
Active Duty Military    Spouse   Other

Please Comment:

*Service Branch

US Navy USMC US Army Coast Guard
US Air Force Joint Other  

Unit/Division/Ship/Battalion/Wing

Deployment Information

Are you deployed now?
Yes     No

If deployed to a land base location, is it a permanent site?
Yes     No

Location where the United Through Reading® Military Program program would take place:
 Country (if applicable)

Base/Camp/Ship/Post Name

Other Comments

Home Port/Home Base Information:

City

State

Country

Other Comments

Thank you for your time. Our goal is to bring the United Through Reading program to all military families around the world. We will be in communication with you shortly.

For Comments/Questions/Problems regarding this form:
Contact: utr@unitedthroughreading.org

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