Service Members Application for Military Banners

Provide a Valid Email Address

Please provide us with a valid email address, as this will be our primary method of communication for installation announcements and any questions we may have.

Service Members' Contact Information

To qualify, you must be currently serving in the military from Visalia. Please note that service members' families are responsible for replacement costs when a banner becomes tattered or faded and needs to be replaced.

Apply Now

Fill in all the required information as accurately as possible (including the date of discharge). Incomplete applications will not be considered.

By completing the form below, you authorize The BRAVE Project Visalia to use any photos, images, or likeness in any forum without compensation to those parties.

Service Member's Name*

Branch of Service*

Has the SM Completed Basic Training?*

Approximate Date of the End of Service*

What Visalia School Did the SM Attend?*

Year of Graduation*

Contact Person's Name*

Address*

Phone*

Email*

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.