Form Center Module

Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Hometown Heroes Program

Sign in to Save Progress
  2. Hometown Heroes Banner Program

  4. Dear Neighbors and Friend,

    The Muhlenberg Township Board of Commissioners is proud to honor our servicemen and servicewomen by facilitating the Muhlenberg Hometown Heroes Program. This program is a community memorial to those who have served our country throughout the years. While the program was created to honor local men and women any application will be considered regardless of where a veteran may have been born or raised. The Hometown Heroes Banners are paid for by sponsors who may be friends, family or businesses. Sponsors will be named on the banners. All costs need to be paid prior to ordering the banner.

    THERE IS LIMITED POLE SPACE WITHIN THE TOWNSHIP TO DISPLAY THE HOMETOWN HERO BANNERS. CURRENTLY ALL AVAILABLE POLES ARE FILLED OR SCHEDULED TO BE FILLED. ANY CURRENT APPLICATION WILL BE ADDED TO A WAITING LIST. THERE IS NO SPECIFIC TIMEFRAME TO HAVE NEW ORDERS COMPLETED. IF YOU HAVE ANY QUESTIONS PLEASE CONTACT HEATHER CARTER AT HCARTER@MUHLENBERGTWP.COM

    WE APOLOGIZE FOR ANY INCONVENIENCE. 

  6. Rules

    1. The initial cost of a 60 x 30 inch banner is $225. A sponsor may elect to replace their original banner for the cost of $125. The replacement cost may increase slightly due to manufacturing costs. Checks only should be made payable to: Muhlenberg Township Hometown Heroes Program. *Please note: There is no guarantee as to the life of the banner, but all retired banners will be returned to the sponsor.

    2. You can attach a photo of your Hometown Hero with this form. If you choose not to, you'll be contacted after you submit your application for a photo. Then you may either bring your photo to the Township Building at 210 George Street to be scanned or email a scanned photo of your hero.

    3. Information about your hero will be printed as submitted with this form. You can see a proof of your banner before it is produced. At that time changes may be made. Once that copy is approved, the banner will be printed without any further editing.

    4. The Township reserves the right to deny any application and all funds will be refunded.

  8. Hometown Heroes Application

  18. (The following section will appear on the banner the way it is submitted)

  22. (if desired)

  26. Eras of Service – Official DOD Dates

  30. Example - Joe and Betty Smith; Mom & Dad

  32. Upload photo of your Hometown Hero here

  34. Photo Release Form

    I hereby grant Muhlenberg Township permission to use the attached photo (which includes a likeness of me or of my relative) in the Hometown Heroes Program and for promotional use. In addition, I take full responsibility that all information provided about the veteran(s) being honored is accurate and correct. I have read and understand both sides of this application.

  36. 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.

    41. Leave This Blank:

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