LeRoy Pennysaver & News

LE ROY PENNYSAVER & NEWS - FEBRUARY 18, 2018 LeRoy Rotary Interact Hometown Heroes Banner Nomination Application Looking for Military Applicants: ü Reside in LeRoy in the 14482 Zip Code and/or have graduated from LeRoy Central School District (regardless of current residency) ü Recipients must be currently active in ANY branch of the United States Military Nominee Name First, Middle Initial, Last Branch of Service High School/ Year of Graduation Nominee Name Current Address Nominee Name Current Phone Number Nominee Name Current Email Address Nominator Name Phone Number Email Address Please include an 8x10 high resolution photograph in uniform with this application Please submit applications with photographs to: LeRoy Rotary Youth Services PO Box 141 LeRoy, NY 14482 Please email: leroyrotaryyouthservices@gmail.com with any questions

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