ARE YOU A U.S. VETERAN?
submit your application to win a FREE car!

‍
Please join us Sunday, October 1st, 2023, 9:00 AM at the VFW Post 4031 for our Veterans Benefit Breakfast where the recipient of the car will be announced.

Please Note - Your application must be received by September 16th 2023, and you must be present to win!

Fill out the form below or download and print the application:

Download and Print

Date

Date of Birth

First Name

Last Name

Mailing AddressEmail AddressPhone(s)

Driver's License #

State

DL Expiration Date

By checking this box, I give permission for VFW post 4031 to obtain my driving record.

Note: DD214 or other supporting documents must be provided at time of drawing in order to win.

Number of dependents living in your household

Ages of Dependents

Please check this box if you are receiving compensation/benefits of any kind from the government.If so, please explain

Have you previously applied for help from another non-profit organization?If so, name of organization and date applied:In the event you are chosen to receive the car, do you understand you are required to obtain and hold vehicle insurance, as well as keep the vehicle registered?Brief Summary/ExplanationI hereby certify that all the information provided by me in this entry form (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge.

Thank you! Your submission has been received. ;)

Please plan on bringing your DD214 or other supporting discharge documents with you to the breakfast on

Sunday, October 2nd, 9am
at
VFW Post 4031
1550 Main Ave
Durango, CO
81301

We'll see you there!

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ARE YOU A U.S. VETERAN?submit your application to win a FREE car!

‍Please join us Sunday, October 1st, 2023, 9:00 AM at the VFW Post 4031 for our Veterans Benefit Breakfast where the recipient of the car will be announced.

Please Note - Your application must be received by September 16th 2023, and you must be present to win!

Fill out the form below or download and print the application:

Note: DD214 or other supporting documents must be provided at time of drawing in order to win.

REMEMBER - You must be present to win!

ARE YOU A U.S. VETERAN?
submit your application to win a FREE car!

‍
Please join us Sunday, October 1st, 2023, 9:00 AM at the VFW Post 4031 for our Veterans Benefit Breakfast where the recipient of the car will be announced.