Your Name *

First Name

Last Name

Phone

(###)

###

####

Veteran's Name *

First Name

Last Name

Branch of the military *

Army

Marine Corps

Navy

Air Force

Space Force

Coast Guard

I have uploaded the following required documents and give the Lake Cherokee Veterans Memorial permission to verify military service. Submission of documents does not guaranteed inclusion of veteran in the memorial. *

Photo of Veteran

Proof of Service (DD 214, Military ID, VA card) *Please black out identifiers (SS#, DOB, etc), all documents will be destroyed after verification.)