Recipient’s Name: ______________________________________________________________

Branch of Military: _________________________________ Rank: _______________________

Dates of Service: _______________________________________________________________

Active Duty:           Veteran:            Any Disability: _____________________________________




Shipping Address to Send Package: ________________________________________________

City: __________________________________ State: ___________ Zip: __________________

Military Base: _______________________________ Country: ___________________________

Email Address: ____________________________________ Phone: ______________________

Special Shipping Instructions: _____________________________________________________




      Guitar Experience:  Beginner:          Occasional:          Intermediate:          Expert:




Requestor’s Name: _____________________________________________________________

Mailing Address: _______________________________________________________________

City: __________________________________ State: ___________ Zip: __________________

Military Base: ________________________________ Country: __________________________

Email Address: ____________________________________ Phone: ______________________

Special Message To Recipient: ____________________________________________________


Application Request For A


Harvest Guitar Troop Package

After printing the form and filling it out as completely as possible, either email it to Debra@GuitarsForTheTroops.org or mail the form to Harvest Guitars For The Troops at 3535 South Irving Street, Suite D, Englewood, Colorado 80110. We will do our best to meet every request for a worthy soldier or veteran.