Board of Voter Registration & Elections

If you know their rank, branch of service, period of service, and home town, please add this in the field forms below.

If you like, please submit a testimonial to be included with the form you have filled out. A testimonial can be, but not limited to, a short response on what honoring a veteran means to you, why you are honoring them, and a brief history of their service.

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Your Info

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Company / Agency Company / Agency

Address 1 Address 1 *

Address 2 Address 2

City City *

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Zip Zip *

Contact Phone Contact Phone

Email Email *

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Veteran Info

Veteran Full Name Veteran Full Name *

Veteran Hometown Veteran Hometown

Select Branch Air Force Army Coast Guard Marine Corps Navy Select Branch

Select Division 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st 32nd 33rd 34th 35th 36th 37th 38th 39th 40th 41st 42nd 43rd 44th 45th 46th 47th 48th 49th 50th 51st 52nd 53rd 54th 55th 56th 57th 58th 59th 60th 61st 62nd 63rd 64th 65th 66th 67th 68th 69th 70th 71st 72nd 73rd 74th 75th 76th 77th 78th 79th 80th 81st 82nd 83rd 84th 85th 86th 87th 88th 89th 90th 91st 92nd 93rd 94th 95th 96th 97th 98th 99th 100th 101st 102nd 103rd 104th 105th 106th 107th 108th 109th 110th 111th 112th 113th 114th 115th 116th 117th 118th 119th 120th Select Division

Year Service Began Year Service Began

Year Service Ended Year Service Ended

Event Description

Event Description * (2000 max limit)

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Verification Code

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