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City of Healdsburg
HOMETOWN HEROES
Military Banner Request Form

Please print/type the name of the honoree as it should appear on the banner

1.First Name:
2.Last Name:
3.Branch of Military
4.Rank:
5.Eligibility
6.Contact Person
7.Honoree Contact Information
8.Please upload the following documents before submitting your application.
  1. Verification of Healdsburg area residence of the service person or relative or verification of relative's employment in Healdsburg.
  2. Verification of current active-duty status
  3. 5" x 7" or larger color portrait-style photo of honoree in dress uniform (will be returned)
  4. Biographical piece (150 words or less).
No file chosen
BIOGRAPHICAL PIECE ( 150 words or less):
The Committee has the right to amend the bio. The bio will be sent to you for your final review and approval prior to the ceremony. Sample bio text included below. It is recommended that you review the bio with the Honoree for the most current information. Please provide in Microsoft Word format by email to Frank Teuschler at mauitraveler@comcast.net
SAMPLE B10 LANGUAGE:
  • Born and raised in
  • Graduated from {High School/College)
  • Is the son/daughter of, brother/sister of
  • Pursued their career in
  • Discovered their interest in
  • Hobbies/activities/goals include
  • Enlisted in the ________ on Date
  • Completed basic training
  • Specialty is
  • Has completed military school of
  • Is currently stationed at
  • Was deployed to 
  • Is assigned to
Questions? Please contact Frank Teuschler at 707-483-0608, by email mauitraveler@comcast.net or Tim Madura 707-815-6983 by email tmadura@sbcglobal.net