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Military Banner Application

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This form has been modified since it was saved. Please review all fields before submitting.

Steps

1. Applicant Contact Information This section is complete This section is incomplete
2. Military Honoree Information This section is complete This section is incomplete

Applicant Contact Information

First Name*
Last Name*
Address (Must be at Temecula)*
City*
State*
Zip*
Phone Number*
Email Address*
Relationship to Honoree*
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Military Honoree Information

First Name*
Last Name*
Branch of United States Military Service*
Rank *
Verification of active duty status*
Military color portrait (In his or her uniform and 5x7 or larger)
* If the serviceperson is resident of Temecula, you will be given priority. For that, we need that you submit any proof of residency at Temecula (such as a copy of driver’s license or utility bill).