Type Full Name :

Sign With Hand

New Banner Fee is $200
Renewal Fee is $125

All payments can be made at the Blakely Borough Building.

Phone #

City, State, ZIP

Branch of the Military

City, State, ZIP

A separate application has to be filled out for each banner if you are applying for multiple banners.
If the specific Veteran is being honored, the sponsor must complete the sponsorship section and the payment process. This helps to ensure that the Blakely Borough has the most accurate and correct information.
If a branch of the military is being honored, please skip the sponsorship section.
In case of Renewal, please note that all banners, originally dedicated to service men and women in 2018, will have the first right of refusal. Renewal in the program will include a re-printed banner, displayed for an additional three (3) years, in the previously designated location.

Name

Contact Person Information (if necessary)

Address

Pole #

I hereby grant the Blakely Borough permission to use the attached photo (which includes a likeness of myself or of my relative) in the 2025 Blakely Hometown Heroes Program. In addition, I take full responsibility that all information provided about the veteran(s) being honored is accurate and correct. Blakely Borough reserves the right to place the banners at their discretion, if the requested pole is not available.

Application Type

Fee Details

{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
blakelyborough.com

Name

Would you like your old banner back?

Banner Information

Veteran/Branch of the Military Information

Address

Name

Years (Era) of Service

Applicant Signature

Full Rank of Hero (no abbreviations)

Sponsor to be Placed on Banner Information

Are you submitting a photo?

Location Requested

Attachments

Applicant Information

Sponsor Same as Applicant?

Please submit a photo of the veteran/branch of the military being honored (All photos must be at least 150 DPI)

Certification

Phone #

Banner For

Application Fee

Important Notice

Veterans Banner Application

Relationship to Hometown Hero

Hometown of Veteran

Phone #

Full Name of the Hero Being Honored