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MEMORIAL GARDEN 4x8" ORDER FORM
Contact Information: Person Placing Brick Order
Control #
(For Administrative Use)
Name:
Telephone #
Address:
E-MAIL
State:
Zip Code:
Each brick can be engraved with one
emblem and up to 3 lines of of text. Please select Branch of service
for the Honoree or you can designate Legion, Auxiliary, or Sons of the American
Legion Emblem.
Each line can contain up to 20 characters (letters, punctuation, spaces).
All Letters will be engraved in UPPER
CASE.
BRANCH OF SERVICE
or
(Designate AL, AUX, or SAL)
Line 1
Line 2
Line 3
Comments/Instructions:
Cost per Brick $100.00
No. of Bricks Ordered:
Subtotal:$
Total:$
Make Checks Payable to: Received by:
Hardin Post 113 Building Fund
Check #
You will receive a receipt by E-mail (If provided) or "Snail
Mail" with the inscription as you have entered.
PLEASE REVIEW AND SUBMIT CORRECTIONS IMMEDIATELY! CORRECTIONS CAN BE
SUBMITTED VIA E-MAIL AT
leroyhsmith@comcast.net or by
telephone 270-304-5060.
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