Show Your Support For
THE  MOTORCYCLIST MEMORIAL

Have your name , your family, your business, or other personal statement placed on the
“walk of memories” leading to the Memorial Wall. These high quality brick pavers come in two sizes.           4x4  (3 lines $40)  and  8x8 (6 lines or 3 lines and a symbol $50). Please add $10 for flag symbol.  (symbols below)


Brick Lettering  of no more than 14 letters per line
including spaces and punctuation

____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____ 


____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____


____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____


____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____


____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____


____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____  ____


SYMBOL_________

(see below)





PLEASE GIVE THE FOLLOWING INFORMATION


YOUR NAME_________________________________________________________________________

STREET       _________________________________________________________________________

CITY             __________________________________ STATE ______ ZIP CODE ________________  

PHONE               (          ) ___________________________

EMAIL          _________________________________________________________________________

PLEASE MAKE CHECK OR MONEY ORDERS PAYABLE TO :
 
THE MOTORCYCLIST MEMORIAL FOUNDATION
P O  BOX 2573
Wintersville , Ohio 43953

ANY QUESTIONS PLEASE CALL:
Tom Bradley @ (740) 282-3045



DEADLINE FOR APPLICATIONS ARE 6 WEEKS PRIOR TO MEMORIAL DAY
AND 6 WEEKS PRIOR TO LABOR DAY
BRICKS ARE ENGRAVED ONLY TWICE YEARLY

SOME SYMBOLS NOT SEEN MAY BE SPECIAL ORDERED
CALL TOM FOR MORE INFO




A - Heart

B - Motorcycle

C - Crucifix
D - Dove

E - Eagle

F - Flag