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City of Cohoes Hometown Heroes Program

  2. Please complete this application form, including the service's person's name and branch of service (Army, Navy, Air Force, Marines or Coast Guard). Include proof of Cohoes Residency and proof of Military Service (e.g. Military ID or DD 214) Each banner is $250.00. Banners will be located in Veteran's Memorial Park on Columbia Street.
  3. Service Person's Information
  4. Sponsor Information
  5. e.g. Driver's license, utility bill, tax bill
  6. e.g. Military ID or DD 214
  7. A JPEG file with 150dpi resolution (there must be NO other people in the photo)
  8. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  9. Leave This Blank:

  10. This field is not part of the form submission.