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NATIONAL INFANTRY ASSOCIATION 1775 Legacy Way Suite 210 Columbus GA 31903 Phone 706 323-2560 Fax 706 323-0967 THE SHIELD OF SPARTA NOMINATION FORM Name of the nominee including Rank/Grade Address of Nominee Nominees Army Branch if Military City State Zip Code Nominee s Phone Number Nominee s NIA Chapter Affiliation Name of Nominator including Rank/Grade Date of Submission Nominator s Phone Fax Number Nominator s NIA Chapter/Mbr No. Enclosed is th.

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