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Order Form
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Order Form
TRIBUTE BANNER ORDER FORM
Fill out the form below or
download the PDF
, fill it out, and mail it with a photo to the address on the form.
Honoring past or present members of the Armed Forces and First Responders with a Tribute Banner.
Contact Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State
ZIP
Phone
*
Email
*
Choose the city your Hero Banner will hang:
*
O'Fallon
Shiloh
Tribute Banner
Photo Upload
Accepted file types: jpg, png, pdf, Max. file size: 8 MB.
If you have a high resolution image of the person to place on the banner, please upload it here.
Image requirements:
Image pixel dimensions of at least 1000 or larger in either height or width preferred. 300 DPI is preferred. Images less than 2MB in file size, are not recommened for quality prints.
Full Name of Person in Photo
*
First
Last
Their Military Rank Or Credentials
*
Years of Service
*
Example 1969-1971
Era of Service:
*
Global War on Terror {Sept 22, 2001 - Present}
Persian Gulf War {Aug 22, 1990 - Aug 31, 1991}
Cold War {Sept 2, 1945 - Dec 26, 1991}
Vietnam Conflict {Feb 28, 1962 - Nov 7, 1975}
Korean War {June 27, 1950 - Jan 31, 1955}
WWII {Dec 7, 1941 - Dec 31, 1946}
WWI {Apr 6, 1917 - Nov 11, 1918}
Spanish American War {Apr 1898 - Aug 1898}
Civil War {1861-1865}
Branch of Military or Rank/Title-Years Served (First Responders)
*
U.S. Army
U.S. Marine Corps
U.S. Navy
U.S. Coast Guard
U.S.Air Force
Photo Release
By virtually signing and dating the below items, I hereby grant the use of the enclosed photo, in the Hometown Heroes Banner Program for O’Fallon, IL, without payment or other consideration.
Your Name
*
First
Last
Today's Date
*
DD slash MM slash YYYY
Banners are $125 each. After you submit this form, expect to get a follow-up email or phone call from Hometown Heroes - O'Fallon, IL. This follow-up will consist of confirming your order, arranging payment, and gathering the appropriate photos for the tribute banner.
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