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Veteran Flag & Banner Order Form

2. City of Yorba Linda
   VETERAN FLAG & BANNER
   Order Form
4. HOW TO COMPLETE THE ORDER FORM:
   1. Select the military branch and the desired quantity.
   2. For multiple military branches on a single flag or banner, select any branch and select a quantity of one (1). In the comment section, indicate the additional military branches you would like to include on the flag or banner.
   3. Submit your order by clicking "submit."
   4. After you submit your order, you will be redirected to the City of Yorba Linda's Payment Portal, https://dpm.bankofthewest.com/ebpp/yorbalindaca/, where you can complete payment.
   5. Once payment is verified, you will be contacted with the status of your order.
   
6. PAYMENT PROCESS

   -Price: Flags= $30 (ea), Banners= $25 (ea).

   -Payment for the total purchase price of items is required to complete the application process.

   -Payments are accepted online (see Online Payment Instructions), or by mailing or walking in your completed application and payment to:

   
   

   Yorba Linda City Hall-Parks and Recreation Department

   Attn: Veterans Flags-Banners

   4845 Casa Loma Avenue

   Yorba Linda, CA 92886

8. ONLINE PAYMENT INSTRUCTIONS
   1. Upon completion of the order form, applicants will be directed to the City of Yorba Linda's online Payment Portal.
   2. Enter "Vets2021" into both the "Reference Number" and "Confirm Reference Number" fields.
   3.Click the green "Pay Now" button.
   4. Enter your contact information.
   5. Enter in the Payment Amount (total of order).
   6. Select Division Name: Option "4-Other"
   7. Select the blue "Add A Payment Method Link"
   8. Complete the payment method fields and click the green "add" button.
   9. Click the green "Continue to Payment" button and complete the on screen payment instructions.
   Note: Should you need assistance with this process, please contact the Parks and Recreation Department at 714-961-7160.
10. CONTACT INFORMATION
12. First Name*
13. Last Name*
15. Address*
17. City*
18. State*
19. Zip Code*
21. Email Address*
22. Cell Phone*
24. SPONSORS

    If you are interested in sponsoring the cost of flags or banner(s). Please check the box below and continue to the submit button at the bottom of the order form. Enter your sponsorship dollar amount on the payment portal.

    1. Sponsor
26. 
27. FLAG ORDERS
29. Flag

    1. Army
30. Flag

    1. Air Force
31. Flag

    1. Coast Guard
32. Flag

    1. Marines
34. Army Quantity*
    -- Select One --123456
35. Air Force Quantity*
    -- Select One --123456
36. Coast Guard Quantity*
    -- Select One --123456
37. Marines Quantity*
    -- Select One --123456
39. Flag

    1. Navy
41. Navy Quantity
    -- Select One --123456
43. Comments
47. 
48. BANNER ORDERS
50. Banner

    1. Army
51. Banner

    1. Air Force
52. Banner

    1. Coast Guard
53. Banner

    1. Marines
55. Army Quantity*
    -- Select One --123456
56. Air Force Quantity*
    -- Select One --123456
57. Coast Guard Quantity*
    -- Select One --123456
58. Marines Quantity*
    -- Select One --123456
60. Banner

    1. Navy
62. Navy Quantity*
    -- Select One --123456
64. Comments
66. Order Confirmation
    After you submit your order, your order will be received and you will be redirected to the City of Yorba Linda's Payment Portal. To receive a copy of your order, please check the box next to "Receive an email copy of this form".
Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit

* indicates a required field