Millersport Veterans Memorial

All Veterans Memorial
It will be built of bricks with names inscribed to honor the veterans of all wars.
These bricks may be purchased for $ 100.00.

SAMPLES

Mary Higgins
Capt. U.S. Army
Nurse - Korea

Maj. Gen. Paul
Schwartzhoff
World War II

Pvt. John Smith
Purple Heart
U.S.M.C. Vietnam

[   ] Veteran               [   ] Relative               [   ] Spouse of Veteran               [   ] Friend of Veteran

Please Check Appropriate Box(s) Below for Line Three:

BRANCH OF SERVICE

[   ] U.S. Army          [   ] U.S. Air Force          [   ]U.S. Maine Corps          [   ]U.S. Coast Guard
[   ] U.S. Navy                 [   ]U.S. National Guard          [   ] U.S. Merchant Marines

WAR SERVED

[   ] U.S. W.W.I          [   ] U.S. W.W.II          [   ] U.S. Korean          [   ] U.S. Vietnam          [   ] U.S. Grenada
[   ] U.S. Panama          [   ] U.S. Persian Gulf          [   ] U.S. Other _______________

Please fill in:

__________________________________________________________  14 Characters per line
__________________________________________________________  2nd line if needed for name or decoration/rank
__________________________________________________________  3rd line reserved for war service or branch of service

Make checks payable to: Village of Millersport Memorial Fund
Mail checks to:  Village of Millersport Memorial Fund, PO Box 536, Millersport, Oh 43046
For additional information contact Village Office (740) 467-2333

Thank You For Your Support