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Memorial Articles Inventory Sheet
The AOG form used
for MA approval and submittal is the Memorial
Articles Inventory Sheet.
It may be found
at
http://www.westpointaog.org/NetCommunity/Document.Doc?&id=15
and copied below. It is used by the Next of Kin
to provide both needed information and
permission at the time of submittal of the
completed Memorial Article to the
Association of Graduates. Although the form
together with the completed article can be
submitted initially by e-mail to
Memorials@westpointaog.org,
before publication can be scheduled, hard copies
of each must be received by:
Memorials
Editor
AOG, USMA
698 Mills
Road
West Point,
NY 10996
ACTION
COORDINATORS:
Please explain to
the Next of Kin our wish that they NOT initial
the sentence on the form that reads
"Not
withstanding the above, to restrict publication
to printed publications only, initial here____"
that immediately follows their signature in the
permission block. Otherwise, we end up having to
recontact the NOK to secure permission
for appearance of the published Memorial Article
on the appropriate company page of our class web
page. Contact your company MA Liaison or the
Project Coordinator if you have questions.
_________________________________________________________________________________________________________
Memorial Article Inventory Sheet
Please fill out
the information requested.
Include this form
with the article, photo, and check (if you are
ordering additional copies of TAPS).
Mail to:
Memorial Articles Editor
AOG, USMA
698 Mills Road
West Point, NY 10996
Phone: 1-800 232-4723, ext. 1623
Full Name of the
USMA Graduate:
________________________________________________________
Cullum Number & Class Year:
_______________________________
Date of Birth:
____________________ Date of Death:
____________________
Place of Death (city & state):
___________________________________________________________
Remains are (complete one):
•Interred in (cemetery name, city & state):__________________________________________________
•Cremated/Inurned in (formal cemetery or
columbarium name, city & state):
________________________
•Cremated/Ashes scattered:
_____________________________________________________________
Photograph
instructions
(check one): ___Photo submitted ___Use
Howitzer (USMA Yearbook) Photo
Name of Next of
Kin:
__________________________________________________________________
Relationship:
_________________________________________________________________________
Address:
___________________________________________________________________________
Phone: ___________________ Email:
_______________________ Fax: __________________
To authorize publication of the enclosed
memorial article in AOG printed publications and
non-password protected AOG and USMA class web
sites sign below:
Next of kin’s
signature:
_______________________________
Date:
____________________
Notwithstanding the above, to restrict
publication to printed publications only,
initial here ______.
If you would like
additional copies of the TAPS issue in which the
memorial is published, see below:
(Next of kin will receive two complimentary
copies. Extra copies are $5 for the first copy
and $3 for each additional copy.)
# of additional copies: _________ total $
amount: _________
Please enclose payment when returning this
Inventory Sheet. (check one)
___ Checks (make payable to AOG) ___
MasterCard ___ Visa ___ American Express
Credit Card Number:
_______________________________ exp. date:
________________
Name of the
memorial article author and relationship to
deceased: ___________________________
__________________________________________________________________________________
Shall we cite the author(s) name at the bottom
of the article (check one)? ___ YES ___ NO
If yes, how should the credit appear?
_____________________________________________________
Author’s address:
_____________________________________________________________________
_____________________________________________________________________
Phone: ___________________ Email:
__________________
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