Veteran Marker Request Form

Veterans Markers and Flags are provided to City residents free of charge to recognize family members who served in the armed forces. The person for whom you are requesting a marker does not have to have died in duty or combat. They must have served in a branch of the Armed Forces and they must be deceased. Please complete the information below. Thank you.

Please provide the following contact information:

Your full Name

Street address - must be within the city limits of Duluth. If not, you are not eligible to order a marker

Address (cont.)

City

State

Zip Code

Daytime Phone

Evening Phone

E-mail

Name as you would like it on the marker (Please, no nicknames or rank)

Conflict served in (WWI, WWII, Korea, Vietnam, Desert Storm, etc.) If the person did not serve in a world conflict, please leave this area blank

Your relationship to the honoree

Your full Name
Street address - must be within the city limits of Duluth. If not, you are not eligible to order a marker
Address (cont.)
City
State
Zip Code
Daytime Phone
Evening Phone
E-mail
Name as you would like it on the marker (Please, no nicknames or rank)
Conflict served in (WWI, WWII, Korea, Vietnam, Desert Storm, etc.) If the person did not serve in a world conflict, please leave this area blank
Your relationship to the honoree

Veteran Marker Request Form

Last revised: March 19, 2004