WALK OF HONOR BRICK ORDER FORM theworldwar.org/support ...

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With each personalized brick, you will receive a certificate suitable for framing that features the inscription engraved on your Walk of Honor brick.

WALK OF HONOR BRICK ORDER FORM This brick is being purchased for a:

Veteran of World War I Veteran of military service other than World War I Non-military individual recognition

I am purchasing the following size brick:

$200, 4” x 8” brick, maximum of 3 lines of inscription $400, 8” x 8” brick, maximum of 4 lines of inscription $1,000, 16” x 16” brick, maximum of 6 lines of inscription

Each stone has a maximum of 15 characters per line (letters, numbers, spaces and punctuation). Please inscribe the brick with the following:

Up to 3 lines for 4” x 8” brick Up to 4 lines for 8” x 8” brick

Up to 6 lines for 16” x 16” brick Name: ________________________________________________________ Address: ______________________________________________________ City: ____________________________ State: _________ Zip Code: _______________ Telephone: ( ) __________________ Email: ________________________________________________________ I will mail in a check with a copy of this form Please charge my credit card in the amount of _______. (MC, VISA, American Express, Discover) Credit Card Number: _______________________________________ Expiration: _______________ Orders received by April 1 will be placed by Memorial Day. Orders received by September 1 will be placed by Veterans Day.

Payment Address: National World War I Museum and Memorial, 2 Memorial Drive | Kansas City, MO | 64108 816.888.8129 | 816.888.8123 (fax) | [email protected]

theworldwar.org/support/bricks