Evans Mills Founding Family & Hometown Hero Pole Banner Flags Order Form
Name
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First Name
Last Name
Email
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example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
If Founding Family: Family Last Name
If Founding Family: Year Settled in Evans Mills
If Hometown Hero: Service Members Full Name
If Hometown Hero: Service Members Branch of Service
If Hometown Hero: Service Members Years of Service ex: 1977-1987
If Hometown Hero: Service Members Campaigns ex: World War II, Desert Shield
If Hometown Hero: You must upload a digital photograph of the Service Member. Head shots are best.
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Hometown Hero Flag
Hometown Hero flags become the property of the Village of Evans Mills once purchased.
$
62.50
Quantity
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