The banner program has been put on hold until next Spring. We will begin placing banners at the end of April/May. Feel free to submit an application. No money is needed at this time. When we begin printing banners we will reach out to you. We will be making some improvements to the program over the course of the winter. Thank you for your understanding.

Veteran Recognition Banner Application

Complete the application form in its entirety. We will be asking for the following information:

• Service person’s name.
• A high resolution digital image (minimum 300 dpi) in jpeg format photo of the honoree in official uniform (no objects).
• Branch of service: Army, Navy, Air Force, Marines, Coast Guard, National Guard, Space Force.
• Proof of Pana vicinity residency for service person.
• Verification of active duty dates (i.e. copy of DD214).

For more information contact:

By submitting the application you hereby grant the Pana Military Banner Project coordinators to use the attached documents (which includes a likeness of me, my relative or person being sponsored) in the Pana Military Banners Project without payment or other consideration.

For security reasons we suggest that you copy your DD214 mark out the social security numbers, and send us a scan of the copied and marked out document. Reach out to Keith Cearlock for other options if you prefer not to upload your DD214.

If you need the DD214 for your honoree please go to the national archives website and request one for FREE. Here is the link: https://vetrecs.archives.gov/

The process to obtain a free DD214 may take several months. Because Of this we will waive the immediate requirement for the DD214 so we can get the banner up.

Banner Application

Honorees Information

Honorees Name *

First

Last

Branch of service *

• Army
• Navy
• Marines
• Air Force
• National Guard
• Coast Guard
• Space Force

Rank at time of discharge *

Service date start (year can be entered by keyboard) *

Service date end (year can be entered by keyboard) *

Active duty? *

• Yes
• No

Was the honoree honorably discharged? *

• Yes
• No

Did the honoree retire from service? *

• Yes
• No

Is the honoree living? *

• Yes
• No

If the honoree has passed, did they die in the line of duty? *

• Yes
• No

Was the honoree KIA? *

• Yes
• No

Is the honoree POW/MIA? *

• Yes
• No

Your Contact Information

Your Name *

First

Last

Your address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Your phone number *

Your mail address *

Email

Confirm Email

Your relationship to the honoree *

Document Uploads

Image of honoree in uniform (must be a jpg 300 dpi or higher) *

Click or drag a file to this area to upload.

DD214 (pdf or jpeg format only please)

Click or drag a file to this area to upload.

Pana History Museum Bio

Would you like this honoree to be honored on the Pana History Museum's websites Veteran Recognition list?

• Yes
• No

Honorees bio (to be filled out if you want to be included on the Pana History Museums website)

Honorees unit information (to be filled out if you want to be included on the Pana History Museums website)

Honorees awards and commendations (to be filled out if you want to be included on the Pana History Museums website)

Send