Memorial Brick Order Form

Slater Veteran’s Memorial Park

Memorial Brick Order Form

Bricks are priced at only: $50.00

Please fill in the name or phrase you wish to have on your donor brick.

You have the option of using 1, 2, or 3 lines on your brick.

Each line may have up to eighteen (18) spaces.

Print exactly, the way you wish the brick to be inscribed. If you print in uppercase the text will be scribed that way. Numbers may also be used in the inscription. Spacing between words is considered a space. Punctuation is considered a space. All text will be centered on the brick.

Fill out the form below to order you Memorial Brick.

1 Line

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2 Lines

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3 Lines

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Mail completed form and payment to:

Slater Veteran’s Memorial Park

PO Box 100

Slater, MO 65349

Attn: Gayle Roder