Nominations 2024 - Blanket Presentation Contact InformationThis Form is to nominate a Veteran, Gold Star Family, First Responder or Caregiver/Supporter for a Blanket of Honor. Please notate any urgent health concern, so that Blankets of Honor can prioritize the presentation, when able. Out of PA state nominations will be honored when able. We appreciate your understanding and patience. Thank you for your cooperation.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.What category does the Recipient fall under? *Gold Star Member (check appropriate branch also)MarinesArmyNavyAir ForceCoast GuardSpace ForcePoliceFireEMSSupporterCaregiverPOW/MIA Family MemberWe apologize for any inconvenience, but please note that our eligibility criteria for nominations have specific requirements. If the individual being nominated is a caregiver or if the associated veteran has unfortunately passed away prior to the submission of this nomination form, they are not eligible for the Blanket of Honor program. We appreciate your understanding and cooperation with these guidelines.Gold Star Member's Name *FirstMiddleLast(if set of parents, only one blanket per set, but both to be honored in ceremony)POW/MIA Member's Name *FirstMiddleLast(if set of parents, only one blanket per set, but both to be honored in ceremony)Gold Star Member's AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePOW/MIA Member's AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeGold Star Member's Phone NumberPOW/MIA Member's Phone NumberGold Star Member's EmailPOW/MIA Member's EmailGold Star's Fallen Member's Information? *FirstMiddleLast(can be Military or Fire/Police)POW/MIA Fallen Member's Information? *FirstMiddleLastRecipients Health Current Status?(If in bad health we will attempt to contact and schedule ASAP)Recipients Name *FirstMiddleLastRecipients AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeRecipients Phone NumberRecipients EmailIf applicableAny Recipients Nicknames?Last Rank Received?(If known)Where were they stationed?(If known)What Campaign / War (if involved in any)(WW2 Veterans will be attempted to be contacted / setup ASAP)Tell us about their service / MOSWe apologize, but if the veteran has passed away prior to filling this form out, they are not eligible.Supporter / Caregiver Information? *FirstMiddleLastSupporter / Caregiver AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSupporter / Caregiver PhoneSupporter / Caregiver EmailIf they are a supporter/caregiver/family member. tell us why they deserve a blanket? *We apologize, but if someone is being nominated and their veteran they are "connected" to being a "caregiver", they are not eligible.Nominator Contact Information *FirstMiddleLastNominator Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNominator Phone *Nominator Email *Nominator Preferred Method of Contact? *EmailPhone CallTextNominator Relationship to Recipient? *Preferred Address of Presentation? *(Default is Recipients Address)How did you hear about us?Any other information you feel we should know?If your nomination is urgent due to health concerns or an upcoming event, please follow up with an email to [email protected]. While we strive to honor nominations on a first-come, first-served basis, we are currently working through a backlog. However, we prioritize nominees with critical health issues or limited time, as well as those of advanced age, moving them to the front of the queue. For event-specific requests, we require at least one month's notice. Our presentations are typically planned months in advance. Additionally, for out-of-state events, please be aware that logistics will need to be arranged. We will do our best to accommodate these requests within our scheduling capabilities. *I understand the statement above, and i will email accordingly.Urgency AcknowledgmentDonations Accepted not ExpectedVenmo - https://account.venmo.com/u/BlanketsofHonorPaypal - https://www.paypal.com/paypalme/BlanketsofHonorCheck - 112B Harrisburg Ave, Elizabethtown, PA 17022CashPlease check out our other web pages.Teespring Store - https://blankets-of-honor.creator-spring.com/?YouTube Channel - https://www.youtube.com/channel/UCk6cZpfniGY29owwWfLEzrwFacebook Page - https://www.facebook.com/BlanketsofHonorApparel Link - https://stores.inksoft.com/blanketsofhonor/shop/homeHave you checked these out?DON'T FORGET TO HIT THE SUBMIT BUTTON ONCE YOU HAVE EVERYTHING FILLED IN!I hereby grant Blankets of Honor, Inc. the irrevocable right and permission to use my photographs and/or video recordings for inclusion on the blanketsofhonor.org website, other websites, in publications, promotional materials, educational resources, derivative works, or for any other purpose in line with the organization's goals, without any compensation to me. I understand and consent to the potential placement of these materials on the Internet. Furthermore, I acknowledge and consent to the possibility of being identified by name and/or title in conjunction with any published photographs and/or video recordings of me. This may include printed materials, online content, or broadcast media. I waive any right to inspect or approve the final product and agree that all materials, including portraits, pictures, photographs, videos, audio recordings, and all associated negatives, tapes, or digital files, shall remain the exclusive property of Blankets of Honor. I hereby release, absolve, and forever discharge Blankets of Honor, its current and former trustees, agents, officers, and employees, from any and all claims, demands, rights, promises, damages, and liabilities connected with the use or distribution of these photographs and/or video recordings. This release includes, but is not limited to, any claims for invasion of privacy, appropriation of likeness, or defamation. *I AcceptI Do Not AcceptDON'T FORGET TO HIT THE SUBMIT BUTTON ONCE YOU HAVE EVERYTHING FILLED IN!Submit