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Honor My Hero
If you would like to submit a fallen military hero to be honored please fill out the information below -- We will connect an endurance athlete with your hero. Your privacy will be protected, the athlete will not have access to your personal address or other information. Any medals you receive will be mailed from Medals of Honor. We do NOT sell your contact information to third parties.

**Important** If you need to reach us for any reason please use honorthem@medalsofhonor.org -- we do not monitor the gmail account which sends out the auto responses from this form. Thank you.

First Name
Your first name
Your answer
Last Name
Your last name
Your answer
Your email address
Email address where we can contact you if needed.
Your answer
Your relationship to the hero to be honored
Recipient's Name
(First & last name) This is to whom the medal will be addressed. *This can be the same person as the one who nominated the hero.
Your answer
Recipient's relationship to the fallen hero?
Is the recipient a minor?
are they under the age of 18?
Mailing address for recipient
This is where the medal will be sent.
Your answer
Name of Hero to be Honored
First & Last name including rank
Your answer
Date of Your Hero's Passing
MM
/
DD
/
YYYY
Division Served
What branch did your hero serve?
URL link
If you would like to share your memorial URL link, link to your heroes photo, or anything else with the endurance athlete please add it here.
Your answer
Any other information you would like to share about your hero?
You can use this space to tell us anything you would like shared with our community or with your athlete.
Your answer
Acknowledgment
I understand that my mailing address etc., will be kept confidential. I also understand that Medals of Honor will be sharing photos of the athlete who's honoring our hero along with our heroes name and or photo on the Medals for Honor Facebook page. http://www.Facebook.com/MedalsOfHonor
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