VETERANS OF FOREIGN WARS OF THE UNITED STATES

CLIPPARD - WILSON - TAYLOR POST 3838
1049 N. KINGSHIGHWAY
CAPE GIRARDEAU, MO.  63701
Yes!  I want to purchase a brick for the Legacy Wall at VFW Post 3838!

Name__________________________________________________________________________

Address________________________________________________________________________

Telephone___________________Cell Phone________________________________________

____I have enclosed my donation of $175.00 for an 8" x 8" brick.

____I would like to donate an additional $_________  Salesperson________________________

Imprint is limited to 6 lines, 14 characters & spaces per line.  Please order additional bricks on separate forms.  Your imprint may be any personal message you wish to use.  Here are two examples:

T h o m a s   D .   R o t h
G u n n e r ' s   M a t e  
F i r s t   C l a s s      
U S S   C a l i f o r n i a
1 9 4 3 - 1 9 4 5          
U S   N a v y              

THOMAS D. ROTH
GUNNER'S MATE
FIRST CLASS
USS CALIFORNIA
1943-1945
US NAVY

THE SMITH FAMILY
JOHN DAVID, SR.
JANE DENISE
JOHN DAVID, JR.
JUDY DEE
AND JACKIE

NAME OR INSCRIPTION TO APPEAR ON BRICK:  (Please print clearly)

 

                           
                           
                           
                           
                           
                           

Signature__________________________________________ Date_________________________