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2. Please note that pursuant to the state’s Public Records Act (RCW 42.56), documents are public records and may be subject to public disclosure. 

4. Military Banner Purchase Form

   The Main Street Military Banner program was initiated by City Council as a way to honor and recognize those who have served, currently serve, and are committed to serve in the U.S. Armed Forces. Learn more by visiting our Bricks & Banners page. 

   Please complete and submit this form to order a banner.

6. Purchaser Information
8. First Name*
9. Last Name*
10. Email Address*
12. Mailing Address*
14. City*
15. State*
16. Zip*
18. Phone Number*
20. Purchasing as a gift?

    1. Yes
    2. No
21. Custom message for gift certificate:

    (Optional) Please limit to a couple of sentences. 

25. Honoree Information
27. Name of Honoree*

    As it will appear on the banner.

28. Middle Initial
29. Last Name*
31. Photo of Honoree*
    • For veteran and active-duty honorees, photos are required to be an official military portrait. 
    • For incoming-military honorees, photos should be an image of the honoree void of other people or objects and professional in nature. 
    • Submitted photos should be in portrait orientation with an 8 x 10 aspect ratio.
33. Status of Honoree*

    1. Incoming Military

    1. Active Duty

    1. Veteran
35. Date Entering Service
36. Branch of Service

    1. Air Force
    2. Army
    3. Coast Guard
    4. Marine Corps
    5. Navy
    6. Space Force
    7. National Guard
37. Rank when entering service
39. Required Documents - Incoming Military Status

    Please upload proof of commitment: Copy of Form-4 or a letter from ROTC indicating the honoree's commitment and status (delayed entry, delayed training, ROTC)

    IMPORTANT NOTE:  Information on this form is sent via email. Please take a copy of the official document and cover/mark out any secure information such as Social Security number, driver's license number, bank information/routing numbers, medical information passport numbers or passwords. 

    
    

41. Year of entry into service
42. Branch of Service

    1. Air Force
    2. Army
    3. Coast Guard
    4. Marine Corps
    5. Navy
    6. Space Force
    7. National Guard
43. Current Rank
45. Required Documents - Active Duty Status

    Please upload a copy of honoree's Military ID for confirmation of active duty status.

    IMPORTANT NOTE:  Information on this form is sent via email. Please take a copy of the official document and cover/mark out any secure information such as Social Security number, driver's license number, bank information/routing numbers, medical information passport numbers or passwords.

47. Years of Service
48. Branch of Service

    1. Air Force
    2. Army
    3. Coast Guard
    4. Marine Corps
    5. Navy
    6. Space Force
    7. National Guard
49. Rank at Retirement / Honorable Discharge
51. Required Documents - Veteran Status

    Please upload a copy of DD214 or Military ID card (retired status).

    IMPORTANT NOTE:  Information on this form is sent via email. Please take a copy of the official document and cover/mark out any secure information such as Social Security number, driver's license number, bank information/routing numbers, medical information passport numbers or passwords. 

55. Payment

    For current pricing, please contact our Parks & Recreation staff at 360-342-5380.  

    Payment for this order will be accepted after January 1st, and  must be received no later than March 1st to be ordered and installed the same year.  

    Please Note: To make the annual purchase of banners, the city must have a minimum of 5 orders. You will receive a full refund if the minimum order is not met.    

    
    

59. Thank you!

    Thank you for your order.  

    Please contact us at 360-342-5380 or by email if you have any questions. 

Leave This Blank:


61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit Submit and Print

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