MEMORIAL PAVER APPLICATION
MARINE CORPS LEAGUE DETACHMENT 246
46 Ontario Avenue
STATEN ISLAND, New York 10301
Telephone Number 718-447-2360 Fax Number 718-447-2376
Agreement made on_________________ Between____________________________________
and the Marine Corps Detachment 246 for an engraved brick. To be placed on our property around our monument.
Pavers (brick) will be engraved in lots of 20. Each Paver will cost $100.00 each.
Any Veteran or Veterans family are invited to purchase a brick.
Detachment upon review has the right to refuse any application and any money received will be returned.
All money received will be applied to our Detachment Building Fund for future expansion and up grades.
All Pavers become the Property of of the Marine Corps League Staten Island Detachment 246.
Make Checks Payable To:
Marine Corps League
___________________________________________________________________________________________
Name Of Person Purchasing Pavers
______________________________________________________________
ADDRESS___________________________________________
CITY_____________________ STATE________________ ZIP______________
Telephone Number_____________________ Size 8 3/4 X 5 3/4
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