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I approve and authorize the use of my image or my family member's image and name on a Hometown Heroes banner to be displayed in Summit, New Jersey. I confirm that I, or my family member, meet eligibility requirements.
(Example= John D. Smith or Capt. John D. Smith)
(Army, Navy, Air Force, Marines, Coast Guard, Merchant Marine, Women Airforce Service Pilots)
(Example: 1940-1944 or World War II. A war or conflict should be listed only if the individual served in a combat zone. If the individual is currently on active duty, it is sufficient to list "active duty" on the form.)
The Summit Free Public Library can assist applicants with making a submission by email.
Summit Hometown Heroes
P.O. Box 892
Summit, NJ 07902
*Please include a self- addressed, stamped envelope if you would like the photograph to be returned.
This field is not part of the form submission.
* indicates a required field