Please print, complete form, and submit to:

City of La Mirada

13700 La Mirada Boulevard

La Mirada, CA 90638

Attention:  Community Services

City of La Mirada Blue Star Application

The City of La Mirada wants to recognize families with members serving in the United States Armed Forces.  Please complete the following application and submit with photographs and other information.  The pictures, names and ranks of the troops will be available to view online.  The Blue Star poster will be mailed to your residence or available for pick up at City Hall.

Your Name ___________________         Honoree’s Name __________________

Address      ___________________         Address   ________________________

City, State, Zip  ________________         City, State, Zip ____________________

Phone _______________________        Phone  __________________________

Relationship to you:  ____________         Branch / Rank:    __________________

More information about honoree:

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