Regimental Memorial Monument Donation and Brick Order Form

14th Cavalry Association
Regimental Memorial Monument

Donation and Brick Purchase Form

The 14th Cavalry Association is a tax-exempt nonprofit 501 (c) (19) veteran's organization. This is a secure form.

The Design and construction of the 14^th Cavalry Regiment Memorial Monument is a unique and easily the most beautiful of all the monuments at Fort Benning.

To provide for maintenance, insurance, and other expenses, we are continuing to solicit donations from members and their families, former members of the regiment, friends and associates, and business entities having connections with the regiment.

Complete all items marked with an asterisk (*). Enter "na" if not applicable.

Donation instead of, or in Addition to, Brick Purchase

The Design and construction of the 14^th Cavalry Regiment Memorial Monument is a unique and easily the most beautiful of all the monuments at Fort Moore.

To provide for maintenance, insurance, and other expenses, we are continuing to solicit donations from members and their families, former members of the regiment, friends and associates, and business entities having connections with the regiment.

Brick Size

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	Engraving Instructions: Print your personalized message in the spaces below exactly as you want your brick to appear. 4" x 8" Bricks are limited to three lines of 20 characters maximum including spaces and punctuation (commas, periods, slashes count as characters).
Line 1	Engraving Instructions: Print your personalized message in the spaces below exactly as you want your brick to appear. 4" x 8" Bricks are limited to three lines of 20 characters maximum including spaces and punctuation (commas, periods, slashes count as characters).
Line 2	Engraving Instructions: Print your personalized message in the spaces below exactly as you want your brick to appear. 4" x 8" Bricks are limited to three lines of 20 characters maximum including spaces and punctuation (commas, periods, slashes count as characters).
Line 3	Engraving Instructions: Print your personalized message in the spaces below exactly as you want your brick to appear. 4" x 8" Bricks are limited to three lines of 20 characters maximum including spaces and punctuation (commas, periods, slashes count as characters).

Extra Mini-Brick Replicas (One comes free with Brick order) can ONLY be ordered with a brick order.

1 Extra Minis ($25)

2 Extra Minis ($50)

3 Extra Minis ($75)

4 Extra Minis (100)

First Name *

MI *

Last Name *

Suffix

Address Line 1 *

Address Line 2

City *

State *

Postal Code *

Home Phone 🛈

Cell Phone

Primary Email Address * 🛈

Secondary Email Address 🛈

The 14th Cavalry Association is a nonprofit 501 (c) (19) Veterans Group. Donations to the Association are tax deductible, however you should consult with a tax advisor for your particular status.