Branch of Service (Circle only one):
| ARMY |
NAVY |
AIR FORCE |
MARINES |
COAST GUARD |
Rank:____________________________
Circle all that apply:
KIA (Killed in Action) |
WIA (Wounded in Action) |
MIA (Missing in Action) |
POW (Prisoner of War) |
"Wheel of Freedom" is to honor all veterans from
Damascus and the surrounding area. There is no fee for inclusion
on the memorial. It is our belief that these heroes have already
paid their dues. However, we are still raising money to cover the
cost of the granite. We ask that you consider a donation of $10
per name to be engraved in this granite. This small donation will
go a long way toward the purchase of this stone. Please make your
check or money order to "Veterans Memorial of Damascus", or you
may make a deposit directly to the fund at the Bank of Damascus.
Use the space below to describe a brief history of
the Veteran you are submitting. This is for the Memorial's reference
book.
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Return this application to Veterans Memorial
of Damascus, P.O. Box 854, Damascus, VA 24236.
