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Submission

Tell us about your Hometown Hero by completeing the form below. Entrant but have served or be on active duty in one of the U.S. Military branches. One entry will be picked each week by a panel of judges to be featured in a promotional spot on KARK and KARZ. One entry per hero please. Voting is not enabled. You can show your support by commenting on your favorite entry.

General Information

* First Name:

* First and Last Name of Hero:

* Military Branch:

Please tell us the branch of the military in which the hero served.

* Last Name:

* AR City in Which Hero Lives or has Lived:

* Public Name:

This name will represent you publicly.

* Your Name:

Your complete name first and last

* Your e-mail address:

* Your Phone Number:

* Your Address:

* Email:

* City:

* Confirm Email:

* State:

Phone:

* zip Code:

Address Line 1:

Address Line 2:

City:

* Postal Code:

Submission Information

* Submit Your Text:

* Entrant Photo:

Please upload a JPEG file (.jpg or .jpeg)

* Title:

Code Verification

Please type the following code in the box below it. The field is not case sensitive.

* The Code:

Double check to make sure your entry is correct and then hit submit below.
By submitting the form you are confirming you are at least 13 years of age and have read and agree to our terms of service and privacy policy.

Hometown Heroes