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                                                  VFW Brick Order Form

To order your bricks, Please use this form. Please use a separate form for each brick ordered
and be sure to mark the size and type brick requested.

Be sure to leave a space between words

Brick Size Small  4"x 8"                                            Brick Size Large  8"x 8"

" Thick for inside wall                                              2" Thick for walkway
   
Line 1
                                                           

Line 2
                                                           

Line 3
                                                           

Line 4 
(8x8 brick only)
                                       

Line 5 
(8x8 brick only)
                                                           

Please make your check out to:   VFW Post 8608 Building Fund.

Please send the order form(s) and your check to:

Leroy E. Anderson
P.O. Box 2656
Nantucket, Ma. 02584

Any questions, please call 1-508-280-1916 (best number) or 508-228-3126 or
EMAIL at uscg_gm2@aol.com

Small Brick  4" x 8"                                                Large Brick 8" x 8"          
3 lines  @ $125.00                                                  5 lines  @  $225.00
(16 characters per line)                                           (16 characters per line)