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Southeast Idaho Veterans Memorial Brick Order Form

Honoring Idaho's Military and Their Families

The Southeast Idaho Veterans Memorial honors military service members who served in the Army, Navy, Marines, Air Force, Coast Guard, or Merchant Marines and their families.

The cost of each brick is $60.00.

Purchaser Information

Phone Number

Brick Engraving Instructions

There are TWO options for engraved information on the brick. Please check one of the engraving options below.

Engraving Option

Option 1: TEXT ONLY – This option allows for 75 characters of information (25 characters per line). Characters include letters, numbers, punctuation, and spaces.

Option 2: MILITARY SERVICE EMBLEM WITH THREE LINES OF TEXT – This option allows placement of the Service Emblem and 42 characters of information (14 characters per line). Characters include letters, numbers, punctuation, and spaces. (See sample below.)

If you select option 1, a keepsake "Mini Brick," engraved exactly like the one placed in the Memorial, can be purchased for an additional $15.00. (Mini bricks are not available for option 2.)

Would you like to order a keepsake “Mini Brick?”

Yes (additional $15.00)

Branch of Service

Army

Navy

Marines

Air Force

Coast Guard

Merchant Marines

Line 1 (up to 25 characters)

Line 2 (up to 25 characters)

Line 3 (up to 25 characters)

Line 1 (up to 14 characters)

Line 2 (up to 14 characters)

Line 3 (up to 14 characters)

Engraving is done exactly as stated above. The City of Pocatello is not liable for any spelling errors made by patrons.

Reorders Due to Misspellings

I understand that if spelling errors are made and I want to reorder, I must submit a new form and pay all fees associated with reordering a new brick.

Payment Instructions

The cost of each brick is $60.00. All orders are custom; therefore, payment is required in advance.

How do you wish to pay?

Credit/Debit Card

Check or Money Order

To pay by credit/debit card, please call 208-234-6232 ext. 2205. Your payment information will be taken over the phone.

To pay by check or money order, make payable to City of Pocatello.

Mail BOTH (1) payment and (2) a copy of your order form* to:

Southest Idaho Veterans Memorial
c/o City of Pocatello
Parks and Recreation Department
PO Box 4169
Pocatello, ID 83205-4169

*You will receive a copy of your order form by email once you submit the form.

PLEASE NOTE: Orders are placed once a month. We will keep you updated on the status of your order. If you have any questions regarding this form or an order, call 208-234-6232 ext. 2205.