ROCKY RIPPLE VETERAN"S ASSOCIATION

COMMEMORATIVE BRICKS ORDER FORM

Yes, We'd like to reserve a permanent brick to be installed in the new Rocky Ripple Veteran's Memorial.

Name:  __________________________________________________________________________

Address:  ________________________________________________________________________

City/State/Zip:  ____________________________________________________________________

Phone:  _______________________________   Email:  ___________________________________

 Bricks are 4" X 8".  Each brick may contain up to 3 lines of copy, 21 characters per line.

All text is centered unless otherwise specified.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Example: 

S

G

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B

A

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Y

 

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A

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L

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R

 

 

 

 

 

U

N

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A

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1

9

6

4

-

1

9

6

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I

N

 

L

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V

I

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M

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F

 

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J

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W

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U

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,

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,

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N

 

 

Please return this form and your check for $25.00, payable to:

ROCKY RIPPLE VETERAN'S ASSOCIATION

5313 Clarendon Rd.

Rocky Ripple, IN  46208

If you need more forms, want us to pick up the completed form or have questions contact Danny Orr at (317) 432-6884

YOU CAN ALSO ORDER ON-LINE AT:  www.therippleeffect.net.

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