16 - TVCC – WEEK OF OCTOBER 8- OCTOBER 14, 2015
In Honor
of All Veterans
The staff at the Siuslaw News are preparing to publish the annual Veterans Day publication, which is a spe-
cial supplement to the newspaper that is devoted to all military veterans who currently are Florence-area residents
or have a connection to this area.
If you are interested in sharing your military background information in the annual tribute publication, or in updat-
ing information that we have published previously, please complete this form and submit it to the Siuslaw News.
Service photographs are also welcome.
Submit forms and photos by e-mail to rcronk@thesiuslawnews.com, by regular mail to Siuslaw News, Attn: Ryan
Cronk, P.O. Box 10, Florence, OR 97439; or drop off materials at the Siuslaw News office in Old Town, 148 Maple
St.
If your profile was published in the 2014 Veterans tribute and you do not wish to make any changes to the profile,
there is no need to resubmit this form or your military information.
Please be sure that all materials are carefully labeled with your name and phone number and are submitted by
October 28, 2015.
Thank you for participating in this project to remember and honor our veterans.
Name: ______________________________________________________________________________________
Contact Phone Number: ________________________________________________________________________
Branch of Service: ____________________________________________________________________________
Rank Achieved (optional): ______________________________________________________________________
Dates Served: ________________________________________________________________________________
Where did you serve? __________________________________________________________________________
____________________________________________________________________________________________
Special Information (E.G., POW): ________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Has your veterans information been published previously in the Siuslaw News Veterans Publication?
YES
NO
Do we have your military photo(s) on file? YES
NO
(Note: If you have submitted photos in the past, we will still have them on file.)