Hill 4-11 Database Login Request Form

To obtain access to the Memorial, Purple Hearts, and Roster databases on the Hill 4-11 Web site so that you can input or update records in the databases, you need a User ID and a password which works with all three databases. A User ID and password will only provide you with limited access to the databases. In other words, you can input new records but you can only change the records you input. Also, access to the databases will only be permitted on a case-by-case basis. Please fill out the form below so your request for a User ID and password for these databases can be evaluated.

If you decide you don't need to have a User ID and password after reviewing the information below and before submitting your request, you can always use one of the following on-line forms, as appropriate, to provide updates to the databases: Memorial Registration/Update Form, Purple Hearts Database Registration/Update Form, and the Roster Database Registration/Update Form. You can also use the "guest/guest" User ID/password combination to gain access to the databases for viewing purposes only.

To complete your request for a User ID and password to these databases with limited access, please complete the following:

Are you a veteran of the 3rd Battalion, 1st Infantry Regiment or one of its supporting units? (Required, please select one.)

Yes

For what purpose do you need access to the databases? (Required, please select one.)

Input or update your records in the database.

Input or update records for someone else.

Both

If you answered No to the first question, please further explain in the box below why you need limited access to the databases:


Your Name:	(Required)
Type Your Email Address:	(Required)
Type Your Email Address Again:	(Required)
Enter Your Preferred User ID:	(Required)
Enter Your Initial Password:	(Required)
Your Vietnam Unit:	(Select the lowest level unit in this list)
Comments:

When you click the "Send Info" button below, you are agreeing not to misuse the databases, for which purposes they were created, on the Fire Support Base Hill 4-11 (http://hill4-11.org) Web site.

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