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