The Bucyrus Community

Honors Our Veterans

Veterans Banner Application

Veteran Information:
Name: Rank Abbreviation:

Branch:

Please email a digital photo (be sure to include the veteran’s name) to:
info@a-1print.com or upload to the a-1print.com website

Submit payment of $100 with the application to:

Norton Bicentennial Inc
P.O. Box 109
Bucyrus, Ohio 44820

Make checks payable to Norton B2 Inc., in the Memo write: Veteran Banners
Questions? Call Rhonda Rowland at 419-561-0993

Applicant Information:
Name:

Relationship to Veteran:

Address:

Phone: Email Address:

By signing, you acknowledge that all information is true and accurate to the best of
your knowledge. You are also providing consent of use of the provided photo on
banners in media.

Signature of Applicant: Date: