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Military Banner Recognition Program
The Military Banner Recognition Program is designed to honor military service personnel. The banner signifies the City's gratitude for their service and commitment to our nation and our community. The designated honoree must be currently serving as "Active" or "Honorably Discharged" Veteran from Placentia (Honoring Veterans Posthumously) in the United States Armed Forces (Air Force, Army, Coast Guard, Marines, National Guard, Navy or Space Force) and currently residing in Placentia or have an immediate family member (parent, spouse, son, daughter, or grandparents) residing in Placentia. Please attach proof with this application.
Applications will be accepted from September 7, 2022 to October 21, 2022. Banners are installed during the month of November and will remain on display for a period of two (2) years.
APPLICANT INFORMATION
Please type or print legibly.
Contact Name:
Mailing Address:
Phone Number:
Relationship to the Honoree:
Email Address:
HONOREE INFORMATION
* Honoree's Name to be Printed on Banner:
*Twelve (12) Character Limit Per Line (Maximum Two Lines).
Honoree's Branch of Service:
*The City is not responsible for any errors in the applicants spelling of the honoree. Please verify the spelling for accuracy prior to submitting this application.
PAYMENT INFORMATION
Please submit completed application and payment in the amount of $260.00 to the City of Placentia, Attn:
Police Department, Military Banner Program, 401 E. Chapman Avenue, Placentia, CA 92870. Payment must be received with this application in order to be processed.
Payment Method: Credit Card
Check
Check #:
Payable to "City of Placentia"
TERMS
I understand by signing below that banners will be displayed on light poles along sections of Kraemer Boulevard and Yorba Linda Boulevard. The location of the banner will be at the City's discretion. Due to the limited amount of street light poles, only one (1) banner per honoree will be accepted. Honoree's name will be printed on both sides of the banner with the honoree's branch of service. The Military Banner will be on display for two (2) years from the date of installation and the Military Banner will be returned to the applicant identified on this form.
Signature:
Date:
FOR OFFICE USE ONLY: Denied Approved: Date of Installation Application No.
Applicant should retain a copy of this application for his/her records.
City of Placentia • 401 E. Chapman Ave. Placentia, Ca 92870 ♦ Phone (714) 993-8211