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2. The City of Beavercreek’s Veteran Banner Program is intended to honor the service men and women of the City of Beavercreek. To qualify for a banner, honorees must meet the following requirements:

   • A veteran of the United States Armed Forces, or sacrificed their life while serving; AND
   • Is a current resident of the City of Beavercreek, or Beavercreek is the individual’s hometown; OR
   • An immediate family member is a City of Beavercreek resident (i.e., parent, spouse, child, sibling, grandchild, child-in-law).
   • Active-duty service members are not currently eligible for this program due to limited number of display locations.
4. Applicant Information
6. First Name*
7. Last Name*
9. Address 1*
11. Address 2
13. City*
14. State*
15. Zip Code*
17. Phone Number*
18. Email*
19. Relationship to Veteran*
21. Service Member Information

    The banner will include the exact spelling and information included in this section. 

23. Veteran's First Name*
24. Veteran's Last Name*
26. Military Rank/Title *

    Please use the proper abbreviation as it should appear on the banner.

27. Service Dates (Ex.: 1951 - 1955)*
29. Branch of Service*
    -- Select One --ArmyMarine CorpsNavyAir ForceSpace Force Coast GuardArmy National GuardAir National Guard
30. War/Conflict:*

    Please choose one due to limited spacing on the banner. If none, put n/a. 

32. Upload military photo*

    The picture should be of the veteran in uniform or dress attire. High Res digital preferred (40" wide at 100dpi, approximately 5mb or larger)

33. Upload verification of military status*

    Verification of military status (Military ID or DD214 form)

35. Your application is not officially received until payment is made for the veteran banner. Payment options include: 

    • Check/Money Order: $100 payable to the City of Beavercreek. Drop off at Beavercreek City Hall, 1368 Research Park Dr.
    • Cash: $100 in-person at Beavercreek City Hall, 1368 Research Park Dr.
    • Credit Card: $100 via telephone or in-person at Beavercreek City Hall, 1368 Research Park Dr. (Additional $3 service fee applies).

    For assistance, contact the city’s engineering department at (937) 427-5513.

37. Signature

    By typing my name, I agree that all the information provided above is correct. Failure to provide one or more of the requested items above may result in the denial of my application. I also give the City of Beavercreek permission to use the service member’s image and likeness on the printed banner, city website, social media platforms, and publications. This signed agreement states that I have read and agreed to all terms set forth in the City of Beavercreek’s Veteran Banner Program Policy.

39. First and Last Name*

41. Any questions regarding the Veteran Banner Program may be sent via email to engineering@beavercreekohio.gov or by phone at (937) 427-5513.

Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

* indicates a required field