Online Application and Order Form - Highlands Ranch Veterans Monument

Donor contact information

Contact First & Last Name *

Contact Email Address *

Contact Phone *

Street Address

City

State/Province

ZIP / Postal code

Select tile & optional website commemoration

Choose a tile size *Tiles come in two sizes. 4″ x 8″ tiles allow three lines of text with a max of 21 characters per line (including spaces). 8″ x 8″ tiles allow five lines of text, a max of 21 characters per line (including spaces).4″ x 8″ tile affixed to the Dedication Wall: $2008″ x 8″ tile affixed to the Dedication Wall (limited quantities): $500

Would you like to include an identical gift tile? ($50 each) *An identical gift tile can be presented to the veteran or a family member or friend of the veteran you are honoring.Yes, please include one identical gift tileNo, thank you

Would you like to include an identical gift tile? ($100 each) *Yes, please include one identical gift tileNo, thank you

Information about the veteran you are honoring

Line 1 – Name *One name per tile, upper and lower case. ALL lines have a max of 21 characters including spaces. We recommend no more than 18 characters.0 / 21

Line 2 – Rank/Rating, Branch *Abbreviate if necessary.0 / 21

Line 3 – Years of service, location or conflict, POW, MIA, KIA designation *0 / 21

Line 3 – Years of service, POW, MIA or KIA designation *0 / 21

Line 4 – Highest honor received, or location of conflict *0 / 21

Line 5 – Location or conflict, or special military designation *0 / 21

Biography and photo for website (optional)

Included with your dedication tile is the option to submit a biography and/or photograph of the veteran you are honoring. The information you submit will be posted to hrvets.org/commemorations. Fill in the field below or upload a Microsoft Word document.

Biography – 200 words max or upload below0 / 200

Upload biography fileFor best results, we recommend a Microsoft Word file.

No file chosen

Upload photoFor best results, we recommend using a jpg, png or tif format.

No file chosen

Your total

Select payment method – Work on your tile will begin after payment is received *Cash – drop off in person at 62 Plaza Drive, Highlands Ranch.Check – payable to “Highlands Ranch Park and Recreation Foundation”. Mail or deliver to: Attn: Dedication Tiles, Highlands Ranch Metro District, 62 Plaza Drive, Highlands Ranch, CO 80129Credit card – Our staff will contact you to accept credit card payment over the phone.

Any additional comments or questions?

Please contact jgrovenor@highlandsranch.org or 720-240-4911 for assistance ordering a dedication tile.

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