Central Missouri Honor Flight
KOMU-TV
5550 Highway 63 S
Columbia, MO 65201
United States
ph: (573) 301-5657
alt: (573) 882-8888
centralm




Adopt‐A‐Veteran
Send mid‐Missouri heroes on a memorable mission!
If you would like to support a veteran’s trip to Washington, DC,
please complete this form, and send it to the address below.
Sponsorships are $300 each. Thank you for your support!
(Please print)
Your name: __________________________________________________________
Address: __________________________________________________________
City: _____________________________________________________
State/Zip: ________________________________________________
Phone: ___________________________________________________
Email: ____________________________________________________
Your opportunity:
_____ I would like to sponsor a specific veteran (please list name and town)._______________________________________________
Has this veteran completed an application to participate? Yes No
If No, an application must be completed.
Applications are available on the this website.
_____ I don’t have a specific veteran in mind, so I’d like to sponsor a veteran from a specific branch of service (if available):
_____ Army
_____ Navy
_____ Air Force
_____ Marines
_____ Coast Guard
_____ Women’s service units
_____ Other, please list: _________________________
For those using credit cards: _____ Visa _____ Mastercard
Card Number: _______________________________
Exp. Date: ________
Signature: ______________________________________________________
Signature: ___________________________________
Date: ___________
Please send with your contribution to:
THANK YOU!
Central Missouri Honor Flight
KOMU-TV
5550 Highway 63 S
Columbia, MO 65201
United States
ph: (573) 301-5657
alt: (573) 882-8888
centralm