C O N F I D E N T I A L

Counterparts

Truong Huu Dong Nam A

Joe West, Locator

146 W Cortland Ave

Fresno, CA 93705-3511

Voice: 209-201-2811 E-mail: joe_west41@hotmail.com

COUNTERPARTS LOCATOR REQUEST

On-Line Version, Page 1

(Click for Print Version in PDF Format)

Detail Locator Data is requested to assist Locators & Historians document the Advisory effort in for future
generations. Your name, address, telephone and e-mail are required to ensure we can contact you.

Your Personal Information

Name:

Street Line:

City, State & Zip:

Email:

Phone:

Are you a Counterparts Member?
How do you prefer to be contacted?:

Personal Data Restrictions
Include my Name, Rank,Branch & Unit Only on the Counterparts/THDNA Web Site. Do Not Include my Personal Data on the Counterparts/THDNA Web Site
Other Information & Comments

Your Service Information
Your Country of Service:
Agency/Branch of Service:
Highest Rank: [Help?]
No of SE Asia Tours/Assignments:
Total Years of Your Service:

I understand that this request to locate a Teammate(s) or Counterpart(s) authorizes Counterparts/THDNA to begin
such search. In the event that my Teammate(s) or Counterpart(s) are found, I also authorize Counterparts to release
my contact information to those located. I verify by my electronic signature below and use of my email address that
I have made this request solely for the purpose of locating those brothers-in-arms with whom I served.

Signature/Authorization:
Request Date:

C O N F I D E N T I A L