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2. Date of Request*
4. Contact Person*
5. Phone Number*
7. Person / Entity Making Request*
9. Date of Event*
10. Time of Event*
12. Event Location and Address*
14. Type of Event*
16. Specific Services Requested

    1. Colors Presentation
    2. Flag Fold
    3. Funeral

    1. Memorial Service
    2. Parade
    3. Other
18. Please explain other, if checked
20. Additional Comments
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit Submit and Print

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