Anyone residing in WNY who has a friend or family member currently deployed in combat is encouraged to submit a photograph to be included on the tribute Wall of “Honor, Recognition and Prayer.” The photograph should be a clear copy or original print in a Portrait Style (Vertical) and 8 x 10 or 8.5 x 11 in size. PHOTOGRAPH WILL BE RETURNED TO YOU.
PLEASE COMPLETE ALL INFORMATION REQUESTED BELOW
SERVICE MEMBER INFORMATION
NAME: __________________________________________________________
BRANCH OF SERVICE: _____________________________________________
RANK: ____________________________________________________________
HOMETOWN: ______________________________________________________
DATE DEPLOYED:___________________________________________________
WHERE DEPLOYED:_________________________________________________
EXPECTED RETURN DATE: __________________________________________
SPONSOR INFORMATION
NAME: ____________________________________________________________
RELATION TO SERVICE MEMBER: ___________________________________
MAILING ADDRESS: ________________________________________________
________________________________________________
TELEPHONE #: ____________________________________________________
EMAIL ADDRESS: __________________________________________________
PLEASE RETURN APPLICATION AND PHOTOGRAPH TO:
MILITARY WALL OF HONOR
WESLEYAN CHURCH OF HAMBURG
S4999 MCKINLEY PARKWAY
HAMBURG NY 14075