Buffalo Soldier Memorial Beautification Project 2009

Brick and Memorial Form

Brick Sponsors will have a brick laid with the Company,Family, or Club name engraved on the brick.

(BSMC El Paso reserves the right to determine if the name(s) are appropriate for the Memorial)

Bricks $50.00 ea 40 spaces/letters for engraving

Number of Bricks________________ $50.00 ea  Total: Amount:______________________________

Name: _____________________________________________________________________ Apt:_____________

Address:___________________________________________________________________________________

City:_____________________________________________State:__________________________ Zip:____________

Business/Home Phone:_________________________________________Cell:_______________________________

Email Address:____________________________________________________________________________________

Payment Methods:

* Money Orders ( Payable to Buffalo Soldiers M/C )

* Cash

Note by signing this agreement, you agree that your company/family/club name maybe used in promoting the

event/item above.

All contributors will be recognized on our website (www.epbsmc.com) regardless of how much they contribute.

BSMC El Paso Chapter reserves the right to remove your company/family/club name  from their website at anytime without notice.

Signiture:__________________________________________________________Date:__________________________

IF YOU ARE INTERESTED IN SPONSORING A BUFFALO SOLDIER ENGRAVED GRAVE STONE, PLEASE CONTACT US FOR MORE INFORMATION

Nathan Mack at (915) 892-0624 or Len Harris at (915) 433-3942

PERSONALIZED BRICK FOR BUFFALO SOLDIER MEMORIAL AT CONCORDIA CEMETERY:

For your engraved words please print clearly on the following lines no more than 40 spaces/letters for engraving:

_____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____

_____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____

_____ _____ _____ _____ _____ _____ _____ _____

!!PLEASE PRINT CLEARLY AND CHECK YOUR SPELLING!!!

ONCE BRICK IS ENGRAVED IT CANNOT BE CHANGED!!!!!!!

"""This Form from Concordia Cemetery Website""""

Buffalo Soldiers El Paso M/C is an

IRS recognized

a 501 C 3 Non Profit Group

Print this form and fill it out theMail this form to: EPBSMC MEMORIAL PROJECT, P.O. BOX 960212 EL PASO, TX 79996

or

EMAILT THIS FORM TO MEMORIALPROJECT@EPBSMC.COM

For more information please contact: Nathan Mack at (915) 892-0624 or Len Harris at (915) 433-3942

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