Laurel Highlands Veterans Memorial Tag Purchase Form
Laurel Highlands Veterans Memorial Park – Application for Memorial tags and Memorial Bench.
Laurel Highlands Historical Village INC NP has built at Hinckston Dam a Memorial for all veterans past and present. We want to preserve the history and sacrifices that every veteran has made. The memorial is dedicated to every veteran who has PTSD and other war issues, a place of solitude where they can come to and find peace. We have posts installed within the memorial for each war, starting with revolutionary war onward to Enduring Freedom and Cold War. If you would like to purchase either a name tag or memorial bench, please contact LHHV listed below. The memorial can be reached from Benshoff Hill Road via Waterfall Road or route 271 via Hinckston Run Road (you have to park at bridge and cross bridge closed to traffic.) We also are building the laurel Highlands Exploration Center on other side of dam in back. This is a 12 acre park to help anyone suffering from PTSD, and seeking focus.
Also on site is a place to hang / attach memorabilia as it applies to veterans i.e. dog tags, picture etc.
Veteran’s Name________________________________________
Veteran’sAddress________________________________________________________
Telephone number and email address_________________________________________
Branch of Service___________________________ Years Served______________________
Rank__________ Rate (Duties IC-3 or Sgt 1st class )___________________
Special awards received i.e. Purple Heart etc. ___________________________________________________
Duty Stations ___________________________________________________________________________________
If in memory of veteran Family member’s
name__________________________________________. Address___________________________________.
Telephone number and email address____________________________________.
Contact for memorial tags
Mail completed form to 390 Rose Branch Street Johnstown PA 15909 with a check made out to LHHV for $35.00 to cover cost of tag, processing and installation fees.
To Purchase Memorial bench with memorial tag attached $275.00 send check to address shown above. Thank you for your service to our country.
E Mail ronaldshawley@gmail.com For more information contact LHHV Secretary Patti 814- 288-7017
Feeding Veterans Emergerrncyy Support
LHHV Veterans Emergency Food Support Form
Laurel Highland’s Historical Village Inc. NP
390 Rose branch Street – Johnstown PA 15909
814-241-6123 – www.LHHV.ORG Email ronaldshawley@gmail.com
Name of Veteran / Family ________________________________________________
Address_________________________________________________________________
City____________________________________________ Zip Code_________________
Phone_______________________ E Mail________________________________________
Branch of Service________________ Dates Served_____________________________
Disabled Veteran YES NO Veteran Homebound YES NO
Veteran needs help cleaning home YES NO – Yard Work YES NO
Does veteran or family member unable to go to food bank YES NO
Check items needed Food { } Clothing { } Cleaning Supplies { } Hygiene { } Paper Products { } Kitchen tools { } Blankets etc. { } Heaters { }
Please list any items needed at this time.