Chop: Veterans Edition Application Veterans Name* First Last Name of Individual Picking up Meal (or receiving meal at delivery)* First Last Select one option* Pick-up at Gather On Broadway (1-4pm on May 16, 2020) Delivery (Only Available in Brown County from Noon to 4pm on May 16, 2020) Number of People in Household*1 Person2 People3 People4 People5 People6 People7 People8 PeopleEmail* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Proof of Military Service*Max. file size: 2 GB.Please provide us some proof of your military service. Some examples would be: Military ID, DD214, Orders, VA Disability Service Connected Rating. If you have issues uploading please contact wkocken@hooahinc.org Δ