BRICKS OF HONOR ORDER FORM
VFW/AUXILIARY POST 5914
VETERANS MEMORIAL
MOUND VALLEY CEMETERY
THOMAS, OKLAHOMA

***ONE BRICK ORDER PER PAGE***
*** THE COST IS $60 PER BRICK ***
(The Granite is from Italy and there has been price increases)
Text will automatically be centered on black granite brick
16 letters/spaces including punctuation per line

Make checks payable to Military Brick Fund, Attn: Jo Klingman
          And Mailed to:           Military Brick Fund
PO Box 622
Thomas, Ok 73669


For Info: Peggy Wiebener (580) 603-2667 Jeanne Lewis (580) 661-1017


Brick Order Form on 07/26/2021
PLEASE TYPE ALL INFORMATION
Rank Abbreviation       First Name   Middle initial (if desired, if room)  
Last Name (line 2)   Branch of service   
If you want to just put the war timeframe then select that but if you know the dates and prefer that just put in the Start and End Dates. Choose one or the other.   War  
  Start     End  



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