VETERANS MEMORIAL APPLICATION

Name

Last Name

First Name

Middle Initial

Branch of Service

Years of Service

(Sample 1941-1945)

Make checks payable to Veterans Memorial of Hinton. Each check will be recorded and deposited at Prairie State Bank of Hinton, $115.00 per applicant. Any application not fully completed will be returned to sender.

Give or mail application and check to one of the following:

Duane Spies
214 N. Hillcrest
Hinton, IA 51024
Phone (712) 947-4791

Stan Hageman
117 W. Cedar
Hinton, IA 51024
Phone (712) 947-4261

Clarence Schindel
321 W. Progress
Hinton, IA 51024
Phone (712) 947-4736