_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_

*Become A Permanent Part of History

Honor yourself, a parent, spouse, child, or friend with a professionally engraved brick with name, branch of service, squadron, unit, dates, etc.

Fill blocks up to 14 characters per line. Maximum of 3 lines.  Lines and characters will be centered if less than 3 lines desired.

Actual 4" x 8" x 2 1/4" smooth surface bricks will be included in the "Wall of Honor" at The Stars and Stripes Museum/Library Association, Inc.® in Bloomfield, Missouri.

Signature:____________________________________________________________________

Price: $50.00 Per Brick. 

     Visa and Mastercard also accepted.

Credit card #__________________________________________________________________

Expiration Date:______________

Signature:_____________________________________________________________________

Phone: (     )                                 

For Donations  please "PRINT" this form, fill it in and mail it with your payment in the form of  a Personal Check,
Money Order, or Credit card to:

                                                            The Stars and Stripes Museum/Library Association, Inc.®
                                                            17377 Stars and Stripes Way
                                                            P.O. Box 1861                             
                                                            Bloomfield, Missouri 63825                                                    

The Stars and Stripes Museum/Library Association, Inc.® 17377 Stars and Stripes Way P.O. Box 1861 Bloomfield, MO  63825 (573)568-2055 e-mail: stripes@sheltonbbs.com
The Stars and Stripes Museum/Library Association, Inc.® is a 501(c)3 Corporation

1st Issue | Home | 1st Stripers | Goals | Who We Are | Welcome Home | Location | Brick 

Site created by: Penta Pro Technologies