Military banner application

Service member's first and last name * Required
First Last
Service member's email address
Service member's phone number
Service members' home address at time of enlistment or commission * Required
Street Address Address Line 2 City State ZIP Code
Military branch * Required
- Air Force
- Army
- Coast Guard
- Marine Corps
- Navy
- Space Force
Enlistment or commission date * Required
MM slash DD slash YYYY
Military portrait
Max. file size: 10 MB.
Please upload the official military portrait of the service member.
Maximum file size - 10 mega bytes.
I will mail the military portrait
- yes
Consent * Required
By submitting my picture, I give the City permission to use it on the military banner.
Applicant's name * Required
First Last
This is for the person submitting this application.
Applicant's email address * Required
Applicant's phone number * Required
Relationship to service member
Relationship to service member * Required
How will you cover the cost of the banner? * Required
CAPTCHA