Jamesville Volunteer Fire Department

Firefighter/EMS Memorial Brick Sale

FOR FURTHER INFORMATION CONTACT 492-2872

Proceeds will be for the perpetual care of the Memorial

Cost for a 4 x 8 Brick is $ 50.00

Cost for a 8 x 8 Brick is $ 100.00

Sample Brick Color of Brick

Please complete the form below to pay by check or Click Here to download the form and mail with a check.

For check payments, complete form and mail to :

Jamesville Volunteer Fire Department
6661 East Seneca Turnpike
Jamesville, NY 13078
Attn: Memorial Fund

Memorial Brick Form

Name *

Phone *

Address *

Address

City

State/Province

Zip/Postal

Brick Size *

4 x 8 Brick $ 50.00

8 x 8 Brick $ 100.00

Choose your Brick Number ( see above on diagram ) *

What you would you like to have on the brick? *

Brick Color Choice *

Color No. 32

Color No. 50

Memorial Brick