MISSION UNITED

Agency/Store/Company Name*

Point of Contact Name

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Email*

Website

Please select the appropriate type and number of decals based on how you can best display the logo on your business/organization.

Number of window decals requested, we suggest one for each point of entry. (Window decals mount to the inside of a glass door or window.):

Number of wall decals requested. (If you don't have a glass door to mount the decal use these.)

Number of small 3.5x1.7 inch decals requested (ideal for a cash register).

We are:*

Comments:

Please check the box to indicate agreement:*

We agree to continue to provide services and or discounts to military, veterans and their spouses that can produce a valid Department of Defense Identification Card. If asked by MISSION UNITED to remove the window logo from our establishment/facility we will do so immediately. If we change our policy and no longer offer military discounts, we will remove the MISSION UNITED logo. Participation in this program does not authorize the use of the MISSION UNITED logo for any other purposes unless specified in writing from MISSION UNITED. We would like to be included in any listing/adevertising/publications produced by MISSION UNITED identifying those Agencies/Stores/Companies that serve military and veterans.

Thank you for all you do for our military, the

veterans and their families.

MISSION UNITED Military and Veteran Recognition Program