CENTRAL COAST VETERANS MEMORIAL MUSEUM
WALL OF HONOR: PLAQUE INSCRIPTION

return to Wall of Honor

 

Your First Name:

Your Last Name:

Street Address:

City:

State/Zip Code:

State:    Zip Code:

Email Address:

Phone:

Service:
   (denotes the section of the wall where the plaque will be located)
INSCRIPTION:  

Line 1:
  22 characters/spaces maximum 

Line 2:
  22 characters/spaces maximum

Line 3:
  22 characters/spaces maximum

Line 4:
  22 characters/spaces maximum

 

Please fill in this form, print a copy (and one for your file), and mail it along with your check for $300 made out to: CCVMM
(sorry but we have not gone to the expense of accepting credit cards for an on-line submittal)

 

                                                     Send to:

CCVMM
Attn: Wall of Honor
801 Grand Avenue
San Luis Obispo, CA 93401

    
                    


If you have any comments, please let us know.  Thanks.

please include your contact information if you want a response: note only this box is submitted