Form

Orange Field of Valor Flag Tribute Order Form
Please note, if you do not have all the information we are asking for, it is okay! You can still submit a form, providing as much information as you can.

Please complete the information below for each flag you wish to dedicate so that we can prepare a Military Service Recognition Tag for the flag.

Please scroll to the bottom for instructions on making a payment for your flag tribute.
HONOREE INFORMATION:

Please enter as much information below as you can. This section pertains to those who have served, or are currently serving, whether living or deceased, from any U.S. Conflict (Air Force, Army, Navy, Marines, Coast Guard, Reserves, POW, MIA, KIA) They DO NOT have to be from the City of Orange. Fields marked with a red * are required.
Did this Honoree have a flag in a previous year at the Orange Field of Valor? *

Yes No I don't know
If yes, would you like us to use the information we have on file? *

Yes No I have new information to submit Does not apply
We will be creating new 2018 Flag Tribute Tags, but can use the information from a previous year if desired. We will contact you if we have any questions so please make sure to provide your contact information in the section below.
Flag purchased is: *

In memory of (for deceased) In honor of
Branch of Service
Rank
Full Name *

First Name Last Name
Date of Birth

- Month - Day Year
Hometown
Please check all that apply

Active Duty/Currently Deployed Veteran Killed in Action Missing in Action POW Reserves Deceased
Assigned (1st Marines, Company B, etc.)
Operation (s)
Please check all that apply

World War I World War II Korea Vietnam Desert Storm Operation Iraqi Freedom/Operation New Dawn Operation Enduring Freedom (Afghanistan) Other (please use details of operation box to describe)
Details of Operation
Dates of Military Service if available
Military Awards(check all that apply)

Legion of Merit Distinguished Flying Cross Silver Star Bronze Star Purple Heart Air Medal Other Military Awards
Please list all other military awards received including dates
Any additional information you would like us to add:
City of Orange Military Banner honoree?

Yes No
Upload a photo here

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Cancel of
I would like to *

Donate my flag back to the CFO for the 2019 Field of Valor Pick up my flag (s) and tribute card(s) the week of Nov 19th-30th.
Flags and tribute cards will be available for pick up at Lamppost Pizza-Orange, 1829 E. Chapman Avenue, during normal business hours (11 am -9:30 pm) from Monday, November 19th through November 30th.
CONTACT INFORMATION FOR PERSON SUBMITTING THE FLAG TRIBUTE

Please complete the following information so that we can contact you with any questions.
Full Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail *
Phone Number *

- Area Code Phone Number
I will pay for my flag *

Online via the CFO website I will bring a check down to the Field of Valor My flag has been paid for by a sponsor.
Name of person who paid for the flag, if applicable
Mail payment to: Community Foundation of Orange

940 West Chapman Avenue, Suite 204

Orange, CA 92868
Comments
Please remember to click on the SUBMIT

button below.

You will receive a confirmation message

that the form has been received.

AFTER YOU SUBMIT YOUR FORM,

YOU WILL BE DIRECTED TO A LINK

TO MAKE YOUR PAYMENT IF YOU

WOULD LIKE TO PAY BY CREDIT CARD.
Should be Empty:

Orange Field of Valor Flag Tribute Order Form

HONOREE INFORMATION:

CONTACT INFORMATION FOR PERSON SUBMITTING THE FLAG TRIBUTE