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Honor A Veteran Form

Honor A Veteran


Honoree Information

First Name*
Middle Name*
Last Name*
Phone Number*
E-mail address
Are you a resident of Volusia County?* Yes No
Branch of Military Service*
U.S. Air Force
U.S. Army
U.S. Coast Guard
U.S. Marine Corps
U.S. Navy
U.S. Space Force

 

Years served in the military*

Are you still active?* Yes No
 
Nomination Justification:
Photograph*

Verification of Military Service*

 

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DeLand, FL 32720
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