VIRTUAL BANNER APPLICATION – FayWest Veterans

We only take applications for banners from September through November of each year. During the months that we are not actively accepting applications, we invite applicants to request a ‘Virtual Banner’. This is a graphic representation of a veteran’s banner that is viewable on our website.

This is an excellent option for those waiting for the next ordering season, or for those that do not have the means, or are on a fixed income, to honor their loved ones.

There is NO CHARGE for this feature, and all veterans, living or deceased in Fayette and Westmoreland counties are eligible. We accept virtual banner requests all year long.

Just fill out the application below and we’ll do the rest!!

Date

CONTACT NAME:

First

Last

Name of individual submitting the application.

ADDRESS:*

CITY*

STATE*

ZIP CODE*

TELEPHONE*

E-MAIL ADDRESS*

FULL NAME OF VETERAN TO BE HONORED:*

Type full name exactly like you want it displayed.

BRANCH OF SERVICE*

RANK UPON DISCHARGE*

DEPLOYED: (IF YES, WHERE)

DD214 OR OTHER DISCHARGE DOCUMENTATION*

PHOTO OF VETERAN*

Please submit the best photo you have. We can do minor corrections, but in some cases, old photos cannot be restored.

I hereby grant the Fay-West Veterans Banner Program to use the name and likeness of the veteran submitted. If electronically signed by a person other than the nominee, that person signing represents that they have the authority to sign on behalf of the honoree, and agrees to defend and indemnify the Fay-West Banner Program from all claims and liability for its reliance on the signers authority.

NAME OF PERSON SUBMITTING APPLICATION

First

Last

By typing your name , you agree that this represents your signature.

Are you human?*

This field should be left blank