Veteran Banner Application Washington PA 15301

Veteran Banner Application

For Our Veterans, Washington PA is a new local pending nonprofit organization here in Washington to help support veterans programs and initiatives. We want to thank our fiscal sponsors out of the farms for the incredible partnership while we are pending our 501(c)(3) status per questions, comments, and concerns email: forourveteranswashpa@gmail.com. Phone: Melisa Anderson 7248090145 PLEASE EMAIL PHOTO TO : nsuccop@printscape.com (When sending the photo please indicate the full name of the veteran)
Veteran Information
Name

First NameLast Name
Branch of Service
Rank (Fill in the Blank)
blanks
Unit (Fill in the Blank)
blanks
War Time Service(** If applicable Fill in the blank if
wanting this to appear on banner)
Specific Honors (MOH, Bronze Star, Silver Star, Purple Heart, MIA, KIA… etc.
Contact Information:
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Signature
I hereby grant permissions to the Veteran Banner Committee of For Our Veterans Washington PA to the following:

To utilize my name and image and/or I am authorized to give permission on behalf of the veteran for the Hometown heroes banner program. I agree by signing above to all conditions. I hold harmless any parties for lost or damaged photos/information. I agree funds are nonrefundable and banners are for display only and are not owned by the purchaser. COST (1 sided $150, 2 sided $300) Make all checks payable to Serenity Farms, Place in the memo For Veteran Banner and last name of your Veteran. Mail Check to VFW Post 329 C/O Greg Atkins 106 E Maiden Street Washington, PA 15301
Should be Empty:

Veteran Banner Application

Veteran Information

Contact Information:

I hereby grant permissions to the Veteran Banner Committee of For Our Veterans Washington PA to the following: