Branch of Service (Circle only one):
| ARMY |
NAVY |
AIR FORCE |
MARINES |
COAST GUARD |
Rank:____________________________
Circle all that apply:
KIA (Killed in Action) |
WIA (Wounded in Action) |
MIA (Missing in Action) |
POW (Prisoner of War) |
"Wheel of Freedom" is to honor all
veterans from Damascus and the surrounding area. There is no fee
for inclusion on the memorial. It is our belief that these heroes
have already paid their dues.
However, we are still raising money to cover
the cost of the granite. We ask that you consider a donation
of $50 per name to be engraved in this granite. This small donation
will go a long way toward the purchase of this stone. Please
make your check or money order to "Veterans Memorial of
Damascus",
or you may make a deposit directly to the fund at the Bank of Damascus.
Use the space below to describe a brief history of
the Veteran you are submitting. This is for the Memorial's reference
book.
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Return this application to Veterans Memorial
of Damascus, P.O. Box 854, Damascus, VA 24236.
