What does the engraved block order form request?

It asks for the orderer’s name and contact phone number, the veteran’s name, relationship and connection to Stuyvesant, and the text requested for engraving.

How much does an engraved block cost?

The form states that each block costs $100, including engraving. Payment should be returned with the completed form.

Do I need a notary for the engraved block order form?

No. This order form is signed without a notary and mentions no sworn attachment or other notarized step; the signer simply signs and dates the order.

How do I submit the engraved block order form?

Complete the form and return it to the Stuyvesant Town Clerk with cash or a check payable to the Town of Stuyvesant.

Stuyvesant, NY · Columbia County

No notary required

Veterans’ Memorial Park Engraved Block Order Form

This order form is for people requesting an engraved block for Stuyvesant Veterans’ Memorial Park and is submitted to the Town Clerk.

What this form is

Use this form to order an engraved block for Stuyvesant Veterans’ Memorial Park. Each block costs $100, including engraving, and can have up to three lines of text, with a maximum of 15 characters per line. The form asks for the orderer’s name and phone number, the veteran’s name, relationship and Stuyvesant connection, and the requested engraving.

Who needs it

Anyone ordering an engraved block for Stuyvesant Veterans’ Memorial Park should complete and return this form.

How to submit it

Complete the form and return it to the Stuyvesant Town Clerk with cash or check payment. Checks should be payable to the Town of Stuyvesant; each block costs $100.

About notarization

This document is signed without a notary; it mentions no sworn attachment or related notarized step, so the signer simply signs and dates the order.

How to submit this form

1
Download The Form
Download the Veterans’ Memorial Park Engraved Block Order Form.
2
Complete The Order
Print clearly and provide the requested orderer, veteran, Stuyvesant connection, and engraving details.
3
Prepare Payment
Include $100 per block with cash or a check payable to the Town of Stuyvesant.
4
Return The Form
Return the completed form and payment to the Stuyvesant Town Clerk.

Frequently asked questions

What does the engraved block order form request?: It asks for the orderer’s name and contact phone number, the veteran’s name, relationship and connection to Stuyvesant, and the text requested for engraving.
How much does an engraved block cost?: The form states that each block costs $100, including engraving. Payment should be returned with the completed form.
Do I need a notary for the engraved block order form?: No. This order form is signed without a notary and mentions no sworn attachment or other notarized step; the signer simply signs and dates the order.
How do I submit the engraved block order form?: Complete the form and return it to the Stuyvesant Town Clerk with cash or a check payable to the Town of Stuyvesant.

Need something notarized?

This Veterans’ Memorial Park Engraved Block Order Form doesn’t need a notary — but if you have another Stuyvesant form that does, a commissioned online notary can help.