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What is your department (State)? *

If a chapter, what is the name and number for your chapter?

Please indicate your site design preference by selecting one of the templates. *
What is your name? (you must be the Commander or Adjutant to complete this survey) *

What is your membership number? *

Please provide a phone number and/or email address where you can be contacted: *

What is the name of the person who will serve as your site's "webmaster"? (This person must be a DAV member and will be in charge of making updates to your site.) *

Please provide a phone number and email address for the person who will serve as your "Webmaster" (Please note the set-up instructions will be emailed to the webmaster): *

Please enter webmaster's membership number:

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