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Banner Program Application

 

Honoree Information 

 

Name of Service Person (First & Last)___________________________________________________________________

                                                                                   Spelling of name will come directly from this application

 

Branch of Service__________________________________       Rank____________________________________________

 

Date of Birth ___________/___________/___________

 

Enlistment Term       From _______________________                                To___________________________________

                                                   Month, Day, Year                                                              Anticipated Month, Day, Year

 

Location of Service or of Active Duty ___________________________________________________

 

               -           -           -           -           -              Applicant Information             -           -           -           -           -

 

Name of Applicant_____________________________________________________________________________________

 

Relationship to Serviceperson-Please Circle One:     Spouse     Child      Parent     Sibling      Grandparent

 

Address_____________________________________

City _________________________________________       

 Zip Code_____________________________________

Phone _______________________________________       

E-Mail_______________________________________________

 

In the event that an active-duty service person’s military status changes, due to any circumstances, it is the applicant’s responsibility to inform the Committee.

 

Signature _____________________________________________________________________

  

Additional Information about Service Person (this may be used for recognition purposes) 

______________________________________________________________________________________________________

______________________________________________________________________________________________________

_______________________________________________________________________________________________________

 

Required Attachments:                 

  1. Proof of Honoree's Salinas Residency  (ex. copy of Utility Bill or valid California ID

  2. Official Service Picture


Please Submit Application, and Required Documents to:                              

Salinas Hometown Heroes Banner Committee

820 Park Row, #953

Salinas, CA 93901

(Send copies NOT originals

Protect your materials by marking them "DO NOT BEND") 

Committee Use Only

Date Application Received  _____________

Date Application Verified  ______________

Estimated Installment Date _____________

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