Verlen
Kruger Memorial
Brick Purchase Invoice
Thank
you for purchasing a memorial brick! Your donation will greatly impact the progress of the Verlen Kruger Memorial at Thompson
Field in Portland, Michigan.
4”x
8” standard paving brick with black inlay cost: $100.00
Please
allow one square for each letter, number, and space between words.
8” x 8” standard paving brick with black inlay cost: $200.00
Please allow one square for each letter, number, and space between words.
Name___________________________________________________________________
Address_________________________________________________________________
City________________________________
State______________ Zip_____________
Phone_______________________________ Email______________________________
Please
reserve the following bricks:
4” x 8”
brick with three lines of inscribed type, each with 14 spaces maximum per line: $100.00
Duplicate 4” x 8” brick for home or office:
$15.00 additional
8”
x 8” brick with five lines of inscribed type, each with 14 spaces maximum per line: $200.00
Duplicate 8” x 8”
brick for home or office: $20.00 additional
I have enclosed a check payable to: Kruger Memorial GRCC $________________.
Mailing address: Kruger Memorial, P.O Box 533, Portland, MI. 48875
Your contribution is
greatly appreciated! Thank you!