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Military Banner Program
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Steps
1.
Service Member Information
This section is complete
This section is incomplete
2.
Sponsor Information
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This section is incomplete
3.
Banner Location
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This section is incomplete
4.
How Did You Learn About the Program?
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This section is incomplete
Service Member Information
First Name
*
Middle Initial
Last Name
*
Email
*
Phone Number
*
Military Branch
*
-- Select One --
Air Force
Army
Army National Guard
Coast Guard
Marine Corps
Navy
Service Start Date
*
Service Start Date
Discharge Date
Discharge Date
Date of Birth
*
Date of Birth
Service Member Photo
Service Member's current or previous Fontana address only
Street Number
*
Street Name
*
City
*
State
*
Zip
*
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Sponsor Information
First Name
*
Last Name
*
Street Number
*
Street Name
*
City
*
State
*
Zip
*
Email
*
Phone Number
*
Relationship to Service Member
*
-- Select One --
Spouse
Parent
Other
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Banner Location
Preferred Banner Location
Indicate address, intersection or pole location.
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How Did You Learn About the Program?
How Did You Learn About the Military Banner Program?
Press Release
Social Media (Facebook, Twitter, Instagram, Nextdoor)
Currently Displayed Banner
Other
Other
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Email address
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