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________________________________________

Please credit my donation to______________________________________________________
                                                                                                    VFW Member

____ I have enclosed my donation of $75.00     ____ I would like to donate an additional $__________

This does not have to be "In Memory Of"; use any wording you choose, just stay within the squares and remember that any
character, letter or space occupies one square.

NAME OR INSCRIPTION TO APPEAR ON BRICK
Imprint is limited to 3 lines, 14 characters and spaces per line.  See example then use the blank boxes to enter your text.
I n   M e m o r y   o f    
J a c k   S m i t h        
P F C   U. S.   A r m y      

In Memory Of
Jack Smith
PFC U. S. ARMY
                           
                           
                           

I give my permission to put this name or inscription on my brick.


Signature_______________________________________________________Date___________________