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Order Forms
PRINT AND MAIL TO:
Idaho Peace Officers Memorial
P.O. Box 37, Meridian, Id 83642-0700
Name:
Address:
City, State, Zip:
Phone:
E-Mail (opt.):

 Item
 Quanity
Size
Color
Cost
  Total
1
           
2
           
3
           
4
           
5
           
6
           
7
           
8
           
MERCHANDISE TOTAL $
 
SHIPPING AND HANDLING $
 
TOTAL $
 
Cost of shipping and handling is $5 for five items and $7.50 for five or more items
  

BRICK ORDER FORM

PRINT AND MAIL TO:
IDAHO PEACE OFFICER MEMORIAL
PO BOX 37, MERIDIAN, ID 83642-0700

NAME  
ADDRESS  
CITY
STATE, ZIP		  
PHONE (opt)  
E-MAIL (opt)  
BRICK
LINES
ENGRAVING
1 1                                    
  2                                    
2 1                                    
  2                                    
3 1                                    
  2                                    
4 1                                    
  2                                    
5 1                                    
  2                                    

BRICKS COST $50 - $100 PER BRICK
($50 PER LINE, UP TO 2 LINES PER BRICK)
18 CHARACTERS AND SPACES PER LINE

TOTAL SUBMITTED: ____________