Thank you and Brick Form

Thank your for your purchase and support of the Regional Veterans Park!

 

VERY IMPORTANT:  If you have purchased a brick, please continue and complete the form below with your paver information.

(Text ideas:  “name, service dates, branch of service”;  “name, division, personal message”)

The Regional Veterans Park Association reserves the right to refuse any message or material that it determines to be inappropriate, such as telephone numbers, political messages and suggestive wording.

Example layout from paver form: 

Capture

Please enter in the boxes on the form below:

[contact-form to=’info@RegionalVeteransPark.org’ subject=’Paver info’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Phone’ type=’text’ required=’1’/][contact-field label=’Address’ type=’textarea’ required=’1’/][contact-field label=’PAVER 1 (Up to 3 lines of text%26#x002c; 18 characters per line)’ type=’textarea’/][contact-field label=’PAVER 2 (Up to 3 lines of text%26#x002c; 18 characters per line)’ type=’textarea’/][contact-field label=’PAVER 3 (Up to 3 lines of text%26#x002c; 18 characters per line)’ type=’textarea’/][/contact-form]