Applicant Information

Name
Home Address

Residency Information


Veteran / Service Member Information

Name2

Photo of Veteran

Please upload a high-quality image to ensure the banner appears clear and professional. Low-resolution images may become pixelated or blurry when scaled to fit the banner. If you do not have a digital photo or do not have one that meets the requirements, you are welcome to bring a physical photo to City Hall, and we will attempt to scan or photograph the image.

One file only.
100 MB limit.
Allowed types: gif, jpg, png.

Payment

I understand that my banner will not be reserved until payment is received.

Payment may be dropped off at City Hall in the NECCO Department (Monday - Friday, 8 am - 5 pm).