APPLICATION FOR VETERANS BRICKS
If you would like to submit a short biography of the veterans service by email, you may do so by sending it to tremontveteransmemorial@yahoo.com or ricksdetailing@yahoo.com.
$100.00 per brick
Bricks will be 8 x 8 granite bricks
A 4-line format will be used as indicated on the application
Each line is limited to 15 characters-including spaces
PLEASE PRINT Veteran’s information:
FIRST Name, Middle Name/Initial:
Last Name:
Branch of Service
Years Served:
Donor Information:
Name_________________________________________________________________
Address:_______________________________________________________________
Phone______________Email____________________Relationship to Vet_________________
MAKE CHECKS PAYABLE TO: Tremont Betterment Association
MAILING ADDRESS: P.O. BOX 611
TREMONT, IL 61568
Thank You for Your Participation
