Florida Veterans Walk of Honor

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Florida Veterans Walk of Honor Order An Honor Brick Today!

Florida Veterans Walk of Honor Brick Order Form Brick Location Cost Quantity Medal of Honor Center Node (1,445 Left) $200.00 Walk of Honor Walkway $150.00 Veterans Court of Honor $125.00 Mini Bricks $25.00 See Payment Options Below. Please submit payment in the amount of:

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Brick Guidelines: Each inscription may contain a maximum of three lines of text, with 18 characters available on each line. Please include all letters, punctuation and spaces on the form. Brick orders are limited to indivduals only. If you wish to purchase multiple bricks, please fill out and submit a separate form for each individual brick order. FOR PAYMENT: By credit card, FVF uses PayPal . One payment can be made for the total amount of all bricks ordered. A receipt for payment will be sent to you immediately by PayPal. To pay by check or money order, mail the total payment with your brick order form(s) to the FVF address below. A paid invoice will be sent to all purchasers showing the engravings with a request to verify the information. For more information on the Florida Veterans Walk of Honor vist www.FloridaVeteransFoundation.org

Engraving Instructions

Line 1 Inscription: Line 2 Inscription: Line 3 Inscription:

West Point Society Of Tallahassee Please provide a 10% donation to the following FVF prequalified Veteran Organiztion_____________________________________________

Mail Form With Check Or Money Order To: Florida Veterans Foundation, Inc. P.O. Box 309 Tallahassee, FL 32302

By Secure PayPal: www.FloridaVeteransFoundation.org Then email form to: [email protected] OR Fax to (850) 488-4001 ◆ Call (850) 488-4181 to pay with a credit card

Fill out the following if using U.S. Mail to process credit card: Visa Master Card American Express Discover Security Code ______________ (3 digit on reverse side of card, 4 digit code on front for American Express)

Name Billing Address City Phone

State Email

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Card Number Name On Card

Expiration Date Signature

Rev 02/25/15