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 $250.00 for a 12" x 12" brick.
____I have enclosed an additional $50.00 and my company camera-ready logo.
____I would like to donate an additional $______________

Imprint is limited to 6 lines, 17 characters & spaces per line.  Please order additional bricks on separate forms.  Your imprint may be any message you wish to use.  See sample below:

C a p e   G i r a r d e a u      
B a n k   &   L o a n            
4 3 0 0   M o n t g o m e r y    
                                 
T h a n k   Y o u   F o r        
O u r   F r e e d o m            
CAPE GIRARDEAU BANK & LOAN
4300 MONTGOMERY

THANK YOU FOR OUR FREEDOM

JOHNSTON CONSTRUCTION
CAPE GIRARDEAU SUPPORTING OUR VETERANS SINCE JULY 1953

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

 

                                 
                                 
                                 
                                 
                                 
                                 

Signature:__________________________________________   Date_____________________