100 Brian Mickelsen Parkway, Cottonwood, AZ 86326, USA
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Welcome to Verde Valley Military Service Park

Download VVMSP Inscription Application

Download the Application PDF File by clicking below. It opens in a new window.

Fill in the necessary blank fields by clicking on them.

You can print your filled form by clicking the print icon above the form.

Military Service Park - Inscription Application Form (pdf)

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VVMSP Inscription Application Online

The Verde Valley Military Service Park Inscription Application is now online.

The Verde Valley Military Service Park honors those citizens of the Verde Valley area who have honorably served in the United States Military. All five branches of the Military are represented.


Proof of military service and Verde Valley residency (or residency of loved one) will be required with your application (Cottonwood, Clarkdale, Camp Verde, Sedona, Jerome, Rimrock, Cornville, Verde Village, Lake Montezuma, Big Park). Acceptable forms of documentation include a copy of DD Form 214 (or for other acceptable options - see below) and a letter of residency. Letter of residency should include the address and years the veteran, or family member, resided in the Verde Valley and does not require notarization or references.


In the event that you are unable to provide or acquire this form, staff can guide you through alternate forms of verification that are sufficient in proving the veteran was in fact Honorably Discharged from the military. Example: Alternate forms of proof may include but are not limited to a VA Card or United States of America Certification of Military Service form.

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Each inscription may have one line of text (veterans name only). Rank will not be included. Placement of the inscription on the Military Service Recognition Wall will be determined in the order in which purchase is received. Minimum donation for Inscription is $75.00. This is a non-refundable order. 

Help Our Cause

Your support and contributions will enable us to improve and maintain our park. Your generous donation will help fund our mission.

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