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2. Veteran's & Active Military Holiday Meal Program Registration Form
   Please fill out the questions below so that we can reserve a special holiday meal for you and your family. If you are not a resident of Westland or Wayne, please contact your local Veteran's organizations for more information on programs in your area.
3. 
5. Personal Information
7. First Name*
8. Last Name*
10. Street Address*
11. City*
    -- Select One --WestlandWayne
13. Phone Number*
14. E-Mail Address (if available)
16. Veteran's / Military Personnel Information
18. Age of Veteran (if applicable)*
20. Branch of Service*
    -- Select One --ArmyNavyMarine CorpsAir ForceCoast GuardSpace Force
21. Special Accommodations Needed?
    -- Select One --Delivery to HomeFamily/Friend will Pick Up

23. Thank you for your interest in the Wayne-Westland Annual Holiday Meal Program for Veterans and Families of Active Duty Service Members. If you have more questions please do not hesitate to contact the City of Wayne or Westland Mayor Offices. Mayor Londeau's Office can be reached at 734-467-3200 or email mayor@cityofwestland.com. Mayor Rhaesa’s Office can be reached at 734-895-9196 or email jrhaesa@cityofwayne.com.

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

    This field is not part of the form submission.

27. Submit Submit and Print

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