East Alton, IL · Madison County

No notary required

Memorial Brick Application

The Memorial Brick Application lets purchasers provide their contact details and choose an inscription for a brick in East Alton’s courtyard project.

What this form is

This application is for purchasing a memorial brick for East Alton’s courtyard project near the East Alton Municipal Building and memorial fountain. It asks for the purchaser’s name, address, ZIP code, phone number, and a choice of memory or honor; the form says bricks cost $100 each and allow up to three lines with 14 characters per line.

Who needs it

Anyone purchasing a memorial brick for themselves, family members, or a friend can provide their details and inscription choice on this application.

How to submit it

The form lists the East Alton Parks & Recreation Department at 615 34th Street, East Alton, Illinois 62024. It also gives the phone number (618) 259-7411.

About notarization

No notary is required; the form lists purchaser details and no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Application

    Download the Memorial Brick Application.

  2. 2

    Complete Purchaser Details

    Provide the purchaser’s name, address, ZIP code, and phone number.

  3. 3

    Choose The Inscription Type

    Circle memory or honor and prepare an inscription of up to three lines, with 14 characters per line.

  4. 4

    Submit To The Department

    The form lists the East Alton Parks & Recreation Department at 615 34th Street, East Alton, Illinois 62024.

Frequently asked questions

What is the Memorial Brick Application for?
It lets a purchaser provide contact details and choose a memory or honor inscription for a brick in East Alton’s courtyard project.
What information does the application ask for?
It asks for the purchaser’s name, address, ZIP code, phone number, and a choice of memory or honor. The form describes bricks with up to three lines of 14 characters each.
Do I need a notary for the Memorial Brick Application?
No. The form lists purchaser details and no notarized attachment or sworn step.
How do I submit the Memorial Brick Application?
The form lists the East Alton Parks & Recreation Department at 615 34th Street, East Alton, Illinois 62024, and gives the phone number (618) 259-7411.

Need something notarized?

This Memorial Brick Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.