Brighton Veterans Memorial Honor Roll Submission Form

2. First Name*
   Name of person submitting the form
3. Last Name*
5. Email Address*
   Email address of person submitting the form
9. Instructions
   Please enter the information for Brighton Veterans (or Relatives of Brighton Residents), both living and deceased who have served in the Armed Forces of the United States of America. If you have multiple names to submit, you may upload them in a spreadsheet or other electronic document such as Word, PDF or Text file. You may also upload a photograph below.
11. Veteran's First Name
12. Veteran's Last Name
14. Military Service Rank
    (Private, Sergeant, Ensign, etc.)
16. Dates of Service
18. Military Branch*

    1. Air Force
    2. Air Force Reserve
    3. Air National Guard
    4. Army
    5. Army National Guard
    6. Army Reserve
    7. Coast Guard
    8. Coast Guard Reserve
    9. Marine Corps
    10. Marine Corps Reserve
    11. Navy
    12. Navy Reserve

    Check all that apply
19. War/Conflict (If Applicable)

    1. Afghanistan War (2001-Present)
    2. Civil War (1861-1865)
    3. Gulf War (1990-1991)
    4. Iraq War (2003-2011)
    5. Korean War (1950-1953)
    6. Mexican-American War (1846-1848)
    7. Patriot War (1836)
    8. Revolutionary War (1775-1783)
    9. Spanish-American War (1898)
    10. Vietnam War (1959-1975)
    11. War of 1812 (1812-1815)
    12. World War I (1914-1918)
    13. World War II (1941-1945)

    Check all that apply
21. Medals, Honors, Notes
23. Upload Document
    Preferred formats: Excel, Word or PDF
24. Upload Photo
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field