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Erie's Home Town Hero's Questionnaire
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* Required
Do you live in Erie, CO?
*
Yes
No
What is your full name?
*
Your answer
What is your cell for the City of Erie or Sue Thomson to contact you?
*
Your answer
Email:
*
Your answer
Name of family member that served
*
Your answer
Branch and years they served or year they started if still active
*
Your answer
Are they currently active military?
*
Yes
No
Are you able to pay for the Home Town Hero banner - it could be around $150? (we can find a sponsor for all of it or a portion also).
*
Yes, I can pay the entire amount up to $150.
I can pay around $75
I'll need a silent donor to help my family.
Other
Other:
I understand that my family member may be on a waiting list to have a banner?
*
Yes
Any other information I should know...
Your answer
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