Flags of Liberty Registration

Flags of Liberty Registration

Please complete all lines and options on the form below for the Veteran Awareness Benefit Sunday, July 2, 2023, 5:45am, Lou Booth Amphitheater, North Wildwood, NJ. A confirmation email will be sent to you.
Your Full Name*

First NameLast Name
E-mail*
Mobile Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please check the OPTIONS that apply:

Attending and bringing my loved ones Veterans Flag to unfurlAttending and need a loaner Veteran Flag to unfurlCan not attend, please have volunteers unfurl a Flag to honor my VeteranCan not attend, please accept my Contribution toward the eventAttending to hold the Veteran Flag of an Unknown Soldier
Name of Veteran whose burial flag you or volunteers will unfurl *

First NameLast Name
Military Branch Served*

$30 Registration Fee*

USD$30 Registration Fee benefits Veterans and Families and includes your T-Shirt Keepsake. Additional T-Shirts will be available at the event. Thank You!

Credit Card

Registration Fee / Contributions benefit Veterans and Veteran Families in need. Deb Moore Ministries is a non-profit 501 (c) 3 organization – Tax ID# 81-1909457 PA and NJ BR Certification
Date

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Date
This is a fill in the blanks field. Please add appropriate blank fields and text.
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