Veterans Honor Wall Name Submission

Veterans Honor Wall Name Submission

Please fill out this form to add the name of a Veteran/Active Duty Service Member to the Veterans Honor Wall located next to City Hall at 11 Wilson Farm Road, Greenbrier, Arkansas. If you wish to submit additional names, please fill out a form for each name. Only Veterans and Active Duty Service Members of the United States armed forces are eligible. Names are added to the Honor Wall annually in a temporary installation. When enough names have been submitted to fill one side of the monument, they will be permanently engraved in alphabetical order.
Submitting Person's Information

Please enter the requested information below so we may contact you with any questions about your submission and to let you know when your submitted name has been added.
Your Name

First NameLast Name
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.
Veteran Information

Please enter the name of the Veteran/Active Duty Service Member exactly as you want it to appear on the Honor Wall.
Please check the list below to be sure the name you are adding has not already been submitted.
Veteran/Active Service Member Information. Include initials, prefixes, suffixes exactly as they should be listed on the wall. For example, John T. (in first name box) Jones, Jr. (in last name box).

First NameLast Name
Optional designations for POW, KIA/MIA.
Thank you for your support!
Please consider making a donation to cover the cost of maintaining and updating the Honor Wall. Donations may be made in person at Greenbrier City Hall, the Greenbrier City Event Center, or may be mailed to:

City of Greenbrier

Veterans Honor Wall

P.O. Box 415

Greenbrier, AR 72058

Please be sure to click the SUBMIT button below to submit your entry. A confirmation email be sent to the address indicated at the beginning of the form.

Thank you for helping us honor our Veterans and Active Duty Service Members!
Should be Empty:

Veterans Honor Wall Name Submission

Submitting Person's Information

Veteran Information

Thank you for your support!