USMC Memorial Foundation - Online Order Form

To begin, complete the required fields indicated by the *.

Please note: If you would like to order more than one brick you will need to fill out a new order form for each brick that you would like to order.

Name*

First Name

Last Name

Email*

Phone*

Street Address*

Address (Ste./Apt#)

City*

State*

Zip Code*

Country*

SHIPPING: Please note that all bricks will be shipped directly to the organization for installation at their designated location. The bricks will NOT be shipped to your home address. The shipping address is just a requirement for payment purposes only.

OPTION A

The “Marine’s Reflection Walk”

All Marines qualify for this walkway and it is meant to

reflect/honor all who earned the Eagle, Globe,

and Anchor with honorable service. Your inscription

should meet the purpose of this walkway.

ENGRAVED BRICK
4X8 for $125 OR 8X8 for $250

OPTION B

The “Walk Home”

All Marines qualify for this walkway and it is meant to tell the

story of coming home after serving, whether overseas

or not, to Parades, Hugs, Love, and the other side

of that (especially for the Korea and Vietnam vets).

Your inscription should meet the purpose of this walkway.

ENGRAVED BRICK
4X8 for $200 OR 8X8 for $400

OPTION C

The “Path to Service”

All Marines qualify for this walkway and it is meant

to show the many reason and paths that people

take to decide to become Marines and the many ages

that happens from childhood to adulthood.

Your inscription should meet the purpose of this walkway.

ENGRAVED BRICK
4X8 for $200 OR 8X8 for $400

OPTION D

The “Walk of Service”

All who served honorably in the United States Military

qualify for this walk and it is meant to honor those

who serve with Marines and to show that we are

all one force working together for America.

Your inscription should meet the purpose of this walkway.

ENGRAVED BRICK
4X8 for $125 OR 8X8 for $250

OPTION E

The “Walk of Valor”

All United States Marines who served honorably

and received one of the top 5 medals qualify for this walk.

All bricks on this walk are 8x8 for uniformity.

Qualifying medals listed from the Navy and Marine Corps Awards Manual:

1: Medal of Honor (MOH)

2: Navy Cross (NX)

3: Silver Star (SS)

4: Distinguished Flying Cross w/ Valor Device (DFC w/ V)

5: Bronze Star Medal w/ Valor Device (BSM w/ V)

ENGRAVED BRICK
8X8 for $400

Verification Of Services*

By checking this block, I certify that the Marine (or service member) honored with an inscription qualifies for the walkway selected. I certify this under penalties of perjury and in accordance with the law regarding falsely claiming honorable US military service.

Check This Box To Select Your Brick Location*

A - The Marine's Reflection Walk" B - The "Walk Home" C - The "Path to Service" D - The "Walk of Service" E - The "Walk of Valor"

Select Your Brick for The "Marine's Reflection Walk"*

4x8 Engraved Brick 8x8 Engraved Brick

Select Your Brick for The "Walk Home"*

4x8 Engraved Brick 8x8 Engraved Brick

Select Your Brick for The "Path to Service"*

4x8 Engraved Brick 8x8 Engraved Brick

Select Your Brick for The "Walk of Service" *

4x8 Engraved Brick 8x8 Engraved Brick

Select Your Brick for The "Walk of Valor" *

8x8 Engraved Brick

Qty

Discount Code

(case sensitive)

TOTAL $

20 Character Limit Including All Spaces and Punctuation.

All submissions are final and changes will NOT be made, so please verify your inscription prior to submitting!

Line 1 (4x8 Brick)

Line 2 (4x8 Brick)

Line 3 (4x8 Brick)

Line 1 (8x8 Brick)

Line 2 (8x8 Brick)

Line 3 (8x8 Brick)

Line 4 (8x8 Brick)

Line 5 (8x8 Brick)

Line 6 (8x8 Brick)

NOTE - All inscriptions are subject to review and approval by the board of the USMC Memorial Foundation and should meet military standards of decorum.

Credit Card*

Confirmation Page

Please verify that your inscription is typed accurately. Your submission is final and will be engraved as submitted. Again, changes will NOT be made to your inscription after submission!

Thank you!

Fundraising Brick

Please verify that your inscription is typed accurately. Your submission is final and will be engraved as submitted. Again, changes will NOT be made to your inscription after submission!

Thank you!

Fundraising Brick