Oregon Army National Guard

Extension Swag Order

Recruiting & Retention

Soldier Information

First Name *

Last Name *

Rank *

Email *

Phone *

Unit Information

Unit *

Battalion

Brigade

Extension Details

Extension Type *

Extension Length (months) *

Extension Date *

ETS Date *

Additional Extension Information

Has the Extension Contract been entered into iPERMS? *

How many years did you extend for? *

Why did you choose to extend? *

Who completed the Extension Contract with you? *

Who told you to complete this Extension Swag Order Form? *

Please provide name, rank, position, and contact information if known (Position Example: Commander, 1SG, PLT SGT, SQD LDR, Team LDR, Retention NCO, Readiness NCO, etc.)

Is there anything else the Retention NCO should know? *

Extension Swag Order

Soldier Information

Unit Information

Extension Details

Additional Extension Information

Extension Swag Items (Choose One)