Event Mission Request

18 November 2018 Last Updated: 18 November 2018

Event Mission Request

This Event Mission Request form should be used for all non-funeral mission requests; such as Welcome Home, Street/Post Office naming, anything other than Funeral Mission Requests.

While the Patriot Guard Riders of New York try to accommodate all requests, we may not be available for non-funeral requests depending on schedule and availability of leadership. Funeral missions are our first priority.

You will receive a confirmation email of your request. If you do not receive this confirmation, please first check your Spam/Junk email folder. If you still did not receive a confirmation, contact us at This email address is being protected from spambots. You need JavaScript enabled to view it.

Thank you.

Your Information

Today's Date: Please choose a date from the calendar popup.

Your First Name:

Your Last Name:

Your Phone Number: Input phone number formatted as numbers only. Do not input dashes.

Your Email Address:

About the Event

Name of Event:

Date of Event Please choose a date from the calendar popup.

Start Time of Event: Input as two digit for hrs, COLON and two digit for min xx:xx

AM or PM

Location of Event

Address

Town/City:

Zip Code:

Event Details: