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Wall of Honor Application
Fill Out Completely
1. Name being submitted  a Delhi resident for 12 consecutive months:
 No
Yes
If yes, in the box below the approximate date and time of Delhi residency
2. Military Qualifications: The name being submitted must have been honorably discharged
or currently serving honorably on active duty under at least one of the following
qualification requirements:
A.   Served on active duty for at least 12 consecutive months:
Yes
 No
No
Yes
B.  Served on active duty in a combat zone for at least 30 days:
C. Served on active duty in a combat zone for less than 30 days,
provided that the action ended  within that 30 day period:
Yes
 No
No
Yes
D. Killed in Action:
A person who served in the Reserves or National Guard must meet at least one of the above criteria.
Exceptions: Notwithstanding the above Military Qualifications, the DTVA Board of Trustees
reserves the right to accept other special and/or unusual circumstances/conditions that may
have occurred to the name being submitted while serving on active duty.
Is there an exception to the qualifications for this name?
No
Yes
If, yes describe
exception to
qualification in box
Email or mail documented proof
of exception to address at
bottom of this page.
3. WAR or CONFLICT- mark all that apply-Required
WWI
Cold War 1945-1991
American Revolution
WWII
 Gulf War/Desert Storm
War of 1812
Korea
 Afghanistan
Civil War
Iraq
Vietnam
Spanish American
Other-if not listed above-enter in box
4. VETERAN NAME TO BE SUBMITTED
5. CONTACT INFORMATION-Required. All information is kept confidential and is not sold.
This information will be used to inform you when the name will be engraved and
dedicated OR for questions that may arise about the information provided. Your email
address will save us postage.
If yes click here
Would you like to join the Delhi Veterans Association?
Before submitting this application: Will you supply a copy of military proof?
Yes
Required
Postal Mail
 Email
Will your military proof be coming via Postal Mail or Email?
Will it be sent in the next 72 hours?
Yes
Email to:
Email Contact or Email Military Proof
Send Military Proof to:
Delhi Township Veterans Association
PO Box 389202
Cincinnati, OH 45238-9202
By submitting this application you agree that the name being submitted meets the
above qualifications. The Delhi Township Veterans Association reserves the right to
disqualify the name being submitted based on the information provided; and the
applicant assumes financial responsibility for incorrect or false information.
Please do not print this form to mail. To submit a name by postal mail click here
Qualifications 1 and part of 2 must be answered as "yes" to qualify to be approved.