Commemorative Brick
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Commemorative Brick Order Form

CUSTOMER INFORMATION

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*(Street / P.O. Box).

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*Full state name - no abbreviations.

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*Numbers only - no dashes, periods, or spaces.

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BRICK INFORMATION

Each laser-engraved memorial brick measures 4"x8" and is available for $100. The inscription contains three lines, with up to 18 characters per line (including spaces), for your veteran's name, rank and branch of service, and EITHER the war(s) or the years in which he or she served. Enter this information below.

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Please proof carefully before submitting to ensure spelling accuracy!

Enter the validation code below exactly as it appears. The code is case-sensitive. Then click Check Out to complete your order.