Brick Order Check Out

Your First and Last Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Brick Choice*

Line 1: Rank, Name (Max 20 characters including spaces)*

Line 2: Branch, Years of Service (Max 20 characters including spaces)*

If currently serving, please list Service Members start year

Line 3: Conflict, Awards, Miscellaneous (Max 20 characters including spaces)*

For all non-military bricks, you will be contacted by a staff member at UHL to discuss your order.*

For immediate assistance, contact 651-319-0737

What color would you like your brick to be?*

Thank you for your donation of a military brick. We will be giving this brick to a deserving hero.

If there is a message you would like us to pass along to the Service Member that will be receiving this brick, please type it above.

How did you hear about the Heroes Monument?*

Who was it?*

Additional Comments/Questions

Would you like to order a 4x4 replica of your brick to gift or display?*

This is an additional $15.00 charge.

Address*

Street Address City State ZIP Code

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Payment Method

Mailing Address for Cash/Check: United Heroes League 15211 Ravenna Trail Hastings, MN 55033

HEROES MONUMENT