2. Section A: Sponsor Information
4. First Name*
5. Last Name*
6. Relationship to Honoree:*
8. Sponsor Name to be Printed on Banner:*
   Banner will state "Proudly Sponsored by:" before the sponsor name. Sponsor may be an individual, organization, business, or may remain blank. To remain blank, type "Anonymous to Public".
10. Email Address*
11. Cell Phone*
13. Home Phone*
14. Work Phone
16. Street Address*
18. Address2
20. City*
21. State*
22. Zip*
26. Section B: Honoree Information
28. Full Legal Name:*
29. Honoree Name to be Printed on Banner*
    Type the Honoree's name exactly as you want it printed on the banner.
31. Military Branch*
    -- Select One --Air ForceArmyCoast GuardMarine Corp.NavySpace ForceOther (Please Explain)
32. Other:
34. Rank*
35. Years of Service*
    Years of Service Start Date

    —

    Years of Service End Date
    Enter the beginning and ending dates of service.
37. War Conflict/Era of Service
38. Major Medals:
40. DD 214 or Military ID*
    Upload a copy of the Honoree's DD 214 form or an active duty Military ID.
41. Medal Certificates
    Upload any certificates of Major Medals
43. Honoree Photo*
    Sponsor must provide a high-resolution military photograph of service member in military uniform. Photo should be portrait orientation and at least 300 DPI for a standard 3”x5” photo. Smaller photos should be submitted at a higher resolution. If photo submitted online does not meet this requirement, sponsor may be asked to bring it to the Community Development Office at 200 E. Third Street, Bonner Springs, Kansas 66012, where a staff member will scan and return the photo.
47. Section C: Residency
49. Residency Eligibility is:*

    1. Sponsor
    2. Honoree
51. Type of Residency Eligibility*

    1. Current Resident/Immediate Family of Bonner Springs
    2. Current Bonner Springs Business
    3. Current Resident/Immediate Family of Bonner Springs-Edwardsville School District
    4. Bonner Springs-Edwardsville School District Alumni
53. Upload Proof of Residency Type*
    Active Utility Bill; USD 204 Diploma; Proof of Family Relationship to Resident
57. Section D: Banner Package Option
59. Choose Banner Package:*

    1. One Season - $150
    2. Two Seasons - $250
    3. Renewal - $150
    4. Additional Banner - $100
63. 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.

    1. I agree.
65. Electronic Signature
Leave This Blank:


67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit

* indicates a required field