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Military Banner Recognition Form

  1. Please complete this recognition form so the citizens of Napa County may honor active military personnel deployed overseas by displaying a personalized street banner in recognition of their service in the Armed Forces.

    Please note that the rank of the service person or country of deployment will not be displayed on the banners.

    Deadline for submission is September 30 each year.

  2. Name and Address of Family Member or Contact Person:
  3. Agreement

    By submitting this form you and your family member give permission to put your family member's name and Branch of the Armed Forces on a banner to be displayed in Veterans Park on Main Street in Napa.

  4. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  5. Leave This Blank:

  6. This field is not part of the form submission.