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2. Program Eligibility
   The Town of Parker’s Memorial Banner Program was created to recognize and honor deceased Town of Parker residents who have served our country in the military. To qualify for this program, the individual being recognized must have served in one of the recognized branches of the United States Armed Forces and have died in the line of duty or been honorably discharged from service. Veterans from incorporated Parker will be given first priority, followed by those who lived in the 80134 or 80138 zip codes. If banner spaces are still available, veterans from outside of the greater Parker area may be considered.
4. First and Last Name of Applicant
5. Relation to Service Member Being Nominated
7. Applicant Email Address
8. Applicant Phone Number
10. First and Last Name of Veteran to be Honored
11. Years Served (i.e. 1992-1996)
13. Last Recorded Street Address of Veteran
15. City
16. State
17. Zip Code
19. Branch of Military
    -- Select One --ArmyNavyAir ForceMarinesCoast Guard
20. Veteran was:
    -- Select One --Killed in the line of dutyHonorably discharged from service prior to passing away
22. I understand that there is a cost of $150 to be paid by the family for this service upon banner approval ($50 if you have participated in the program previously and have an existing banner that is still in good hanging condition).

    1. Yes
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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