12X12 Brick – Military Veterans Museum

12X12 Memorial Brick $500

Bricks ordered between October 1 and April 15 will be placed in the Memorial Plaza by Memorial Day (last Monday in May). Bricks ordered between April 16 and September 30 will be placed in the Memorial Plaza by Veterans Day (November 11). When the brick is place in the plaza a certificate of appreciation will be send to the address indicated on the form below.

Please fill out all of the information below. The 12X12 brick is limited to seven lines, 19 characters per line (including spaces).

Date

Name(Required)

First Last

Phone(Required)

Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Line 6

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Comments

12X12 Brick

Price:

Credit Card

Cardholder Name

Card Details