donation form

2 downloads 229 Views 30KB Size Report
Enclosed is my check for $100, I want to honor an individual with an 8x8 inch engraved paver. I have included the name o
Memorial Oaks Paver Request Form I want to support the Memorial Oaks of South Kenton project by purchasing an engraved paver. I understand that I can respectfully honor any individual, family, or group with a paver. To honor an individual teacher, school administrator, Alumni Class, or anyone else, select the appropriate sized paver and complete your message in the form below. To honor an armed forces hero, we suggest you include: Name; Rank; Service Branch (USA, USN, USMC, USAF, USCG, USMS) and Era/Time Frame (WW II, Korea, 1978 - 1982, etc.).

To honor a first responder hero, we suggest you include: Name; Position; Unit; and Time Frame. 

Check here, if your hero was killed, wounded, or injured, in the line of duty, we want to contact you for additional options.



Enclosed is my check for $50, I want to honor an individual with a 4x8 inch engraved paver. I have included the name of the individual and message details below.



Enclosed is my check for $100, I want to honor an individual with an 8x8 inch engraved paver. I have included the name of the individual and message details below.

If you need to contact me:

Name ________________________________ Phone (_______) ________ - _____________ E-mail: ______________________________

Mail the donation form and check (payable to: Memorial Oaks) Moon Brothers Post 275, PO Box 36, Independence, KY 41051