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Honor. Remember. Celebrate. 

Thank you for participating in the Town of Long View Hero Banner Program. Please complete this application in its entirety. Incomplete applications may delay processing.

Applicant Information

Edit Form

Applicant Name*

Relationship to Honoree*

Address*

City / State / ZIP*

Phone*

Email*

Honoree Information

Honoree's Full Name (as it should appear on banner)*

Rank (Optional)

Branch of Service*

Status (Active, Reserved, Veteran, Retired, Deceased)*

Years of Service (Optional)

Conflict / Era (Optional)

Awards / Honors (Optional)

Banner Information

Preferred Banner Text (if different)

Photo Submission

File Upload*?

Optional Story About Your Hero

Share a brief story (100–200 words) about your hero. This may be featured on the Town's website or social media.

Acknowledgments

*

I certify I have permission to submit this application and photograph.

I certify the information provided is accurate.

I understand banner placement is determined by the Town and specific locations cannot be guaranteed.

I understand banners may become damaged due to weather, vandalism, or unforeseen circumstances.

I understand the Town reserves the right to refuse applications that do not meet program guidelines.

I grant the Town permission to use the submitted photograph and information for the Hero Banner Program and related promotional materials.

Signature

Digital Signature (Write full name)*

Date*