Entry Form

Your Email*

Your Phone*

First and Last Name of Nominee*

Nominee's Branch of Service*

Nominee's Rank*

How Many Years of Service for Nominee?*

Street Address of Nominee *

City*

State*

Zip*

Nominee's Phone Number*

Nominee's Date of Birth*

Must be over the age of 19 to enter.

Are You Related to Nominee*

If yes, how are you related to the nominee?*

Why does this person need or deserve a room makeover?

Select a room for desired makeover*

Does nominee own their home?*

Does nominee have proof that they own home? Mortgage, etc.*

Upload photo of room for desired makeover*

From Computer

Photo Title

I have read and agree to the rules below*

I have also completed the Active Heroes Application form below.*

Enter

Links

Active Heroes Application Form

Links

Official Rules

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WBRC FOX6 News and our sponsors want to help a local military family reconnect by providing them with a room retreat.

Nominate a deserving military family to WIN a room retreat makeover!

*Must be active duty or veteran to win.
Nominations end October 25 at 12:00 a.m.

Entry Form

Links

Links

Thanks For Entering

Thank you for entering!

We will review all submissions and contact the winner on or about November 1.

Header Image

Rich Text

WBRC FOX6 News and our sponsors want to help a local military family reconnect by providing them with a room retreat.

Nominate a deserving military family to WIN a room retreat makeover!

*Must be active duty or veteran to win. Nominations end October 25 at 12:00 a.m.

Entry Form

Links

Links

Thanks For Entering

Thank you for entering!

We will review all submissions and contact the winner on or about November 1.

*Must be active duty or veteran to win.
Nominations end October 25 at 12:00 a.m.