Flag Request Form and Presentations View Honor and Remember Personalized Flag Recipients Form is being rebuilt and will be available soon. Personalized Flag Request Form We are dedicated to facilitating the presentation of one personalized Honor and Remember Flag for each family of a fallen service member. With thousands of families to reach across all generations gifting is only possible with donated resources or specific sponsorships through individuals or organizations. Please be patient as the waiting period may be several months or longer. Once funding is generated, we would like to properly prepare this personalized tribute. In order to insure accuracy please provide us the specific information requested below. Once flags are sewn based on the information given, it is expensive or impossible to fix misinformation. With the inclusion of the new Honor and Sacrifice Flag for those families whose loved ones died while serving in public safety communities, there are now two choices. Please select which flag you are requesting. Type of Flag Requested -- Flag Type --Honor and RememberHonor and Sacrifice Name of Requestor Flag for yourself, or someone else? This is a surprise Person to receive flag: Relationship to Service Member Requestor's email Requestor's Street Address City State -- Select State --AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFederated States Of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontUs Virgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingZip Primary Phone Work Phone Cell Phone Family Information (if different from above): Name Relationship Address City State Zip Home Phone Work Phone Cell EmailFallen Hero Information: Example: Cpl George A. Lutz II ~ 29 Dec 2005 ~ IraqAppropriate Rank First Name Middle Initial Last Name Suffix (Jr, III, etc) Branch of Service Date of birth (mm/dd/YYYY) Date of death (mm/dd/YYYY) Place of death Nickname or called Name Cause of death and short positive story We want to be sure that each loved one is respectfully recognized and honored individually by name and that each family’s sacrifice not be forgotten. Because of the importance of this campaign in educating the country in the daily remembrance of each precious life, these presentations are suggested to be made formally in a public ceremony.They are not simply shipped or mailed.We can arrange for a short ceremony in your area, however, it would be best if you could recommend dates and places meaningful for the presentation. In order to help you arrange this please suggest any groups, organizations, churches etc that you are associated with or any possible venue recommendations you may be attending:Comments or suggestions Organization Contact Name Contact Number Community or Church Group Contact Name Contact NumberAll information provided is held in strictest confidence and will not be shared with any third party. Thank you. Send Request Your flag request has been received.