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Brick Order Check Out
Home
/ Brick Order Check Out
HEROES MONUMENT
DJI_0755
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Your First and Last Name
*
First
Last
Email
*
Enter Email
Confirm Email
Phone
*
Brick Choice
*
Military Brick 4x8
Donate Military Brick 4x8
Non-Military Brick 4x8
Non-Military Brick 8x8
Non-Military Brick 16x16
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.
*
I understand
For immediate assistance, contact 651-319-0737
What color would you like your brick to be?
*
Gray
Beige
Red
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?
*
Facebook
LinkedIn
Instagram
Twitter
VFW/American Legion
Newspaper
Email
Staff/Board Member/Regional Program Manager
Other
Who was it?
*
Additional Comments/Questions
Would you like to order a 4x4 replica of your brick to gift or display?
*
Yes
No
This is an additional $15.00 charge.
Address
*
Street Address
City
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Armed Forces Americas
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State
ZIP Code
Hidden
Payment Method
Cash/Check (mail to UHL HQ)
Credit Card
Mailing Address for Cash/Check: United Heroes League 15211 Ravenna Trail Hastings, MN 55033
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