Appeal for Redess From the War in Iraq
Please indicate your duty status
* Active Duty
Active Reserve and Guard
Individual Ready Reserve Last served: YYYY-MM-DD
First Name: * Middle Initial: Last Name: *
Nonmilitary secure email: *
Duty station:
Home Zip Code: *
Have you served in the Iraq Theater? * Yes No
Service Branch: * Navy Army Marines Air Force Coast Guard Rank: * E-1 E-2 E-3 E-4 E-5 E-6 E-7 E-8 E-9 O-1 O-2 O-3 O-4 O-5 O-6 W-1 W-2 W-3 W-4 W-5 Nature of grievance:
1. The failure to provide troops adequate protection and preparation for combat
2. The human cost in thousands of deaths and severe injuries among American service members and the suffering of the Iraqi people
3. The economic cost to American taxpayers and diversion of resources from other priorities (inadequate response to Katrina, etc.)
The information you submit will be sent to members of Congress and the Senate. Appeal for Redress will not release your information to any other person or organization. * required
Appeal for Redress
PO Box 53052
Washington, DC 20009-3052
info@appealforredress.org
Phone: 360-241-1414
Fax: 360-694-8843