Donation Form

I want to honor Brunswick’s
veterans by donating to the
Brunswick Veterans Monument.

I am donating the following:

             ______             $150

             ______             $50

             ______            $25

             ______   Other: $________

Make checks payable to VFW Post 10421.
Please note that  it  is for the Veterans Monument.

Mail to VFW Post 10421
Veterans Monument
317 Brunswick Street
Brunswick, MD 21716

Name: _______________________________________

Address: _____________________________________

City: ________________________________________

State: _____  Zip code: _________

Phone: _______________________

E-mail: _______________________

Please let me know how the
project progresses.

______  YES     ______  NO

Clip and enclose with your donation
Thank You