EmailMe Form - Veterans Walkway of Honor Brick Fundraiser

Choose Your Brick *

4” x 8” bricks can be personalized with up to 4 lines of text , 21 characters per line.

8” x 8” bricks can be personalized with up to 8 lines of text , 21 characters per line without clip art or 6 lines of text, 21 characters per line with clip art.

I’d Like to Donate an Additional...

$ Dollars

Click to display or hide clip art.

Add clip art is $25 additional.

Add a Mini Replica Brick Add $25 each.

Line 1:

Line 2:

Line 3:

Line 4:

Line 5:

Line 6:

Line 7:

Line 8:

Choose Your Clip Art

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Phone *

### - ### - ####

Email *

Comments/Order Instructions