Thin Blue Line Election

We appreciate you visiting the Contact Us Thin Blue Line page. To assist Thin Blue Line (TBL) in documenting your hero's information, kindly complete the details below. Email the filled document to David Larson at dlarson@starsstripes4ever.org or fax it to (888) 616-3420.

Donate

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Symbolic Flag Displays

By checking the box(es) below, you agree to allow TBL to list your hero on the TBL website and/or social media sites. Your decision won't affect your eligibility to receive a flag; it is a formality to honor the privacy of our fallen heroes and their families.

Thin Blue Line Election Form

We Agree to Have Our Hero Listed in the Following Places

TBL Website

TBL Social Media Sites

Hero Information

First and Last Name(Required)

Department

Date of Death

Age(Required)

Home City and State(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Flagpole Recipient Information

First and Last Name(Required)

Address, City, Street & Zip(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Phone Number(Required)

Email Address(Required)

Preferred Flagpole

Stage Pole

Fly Right Wall-Mounted

16 Feet Tall

20 Feet Tall

Flagpole Recipient Signature

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Comments

This field is for validation purposes and should be left unchanged.

Flagpole Recipient Signature

Please contact David Larson with any questions.

Sincerely,

David & Lisa Larson; Co-Founders, Co-Executive Directors

Contact Information

P.O. Box 44576
Eden Prairie, Minnesota 55344

(612) 309-8456
dlarson@starsstripes4ever.org
Mon - Fri: 9:00 AM - 5:00 PM
Sat & Sun : Closed

A non-profit 501(c)(3) public charity

Tax ID: 26-0215456