Flags of Liberty Registration

Flags of Liberty Registration

Please complete form below, specify the name associated with the Veteran Burial Flag you will be bringing on June 30th at sunrise in North Wildwood, NJ to honor and unfurl. Confirmation email will be sent to the first 50 registrants by March 1.
Full Name *

First Name Last Name
E-mail *
Mobile Phone Number *

- Area Code Phone Number

Address *

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

Name of Veteran whose burial flag you will unfurl *

First Name Last Name
Military Branch Served *

$20 Registration Fee *

USD $20 Registration Fee benefits Veterans and Families and includes your T-Shirt and Keepsake. Additional T-Shirts will be available at the event. Thank You!

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

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
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