Rush Notary

Millersport, OH · Fairfield County

No notary required

Veteran Brick Order Form

This order form lets donors provide their contact information and pay for an engraved brick or replica tile honoring veterans in Millersport.

What this form is

Millersport offers engraved bricks and replica tiles for its Veteran's Memorial walkway, including replacement bricks. The order form collects donor contact information and lists brick and tile prices: $30 for a 4-by-8-inch gray brick and $10 for a 4-by-4-inch black replica tile. It also explains the accepted payment methods and where to send a check.

Who needs it

People wishing to order an engraved veteran brick or replica tile for the Village of Millersport memorial walkway use this form.

How to submit it

Pay by cash or check; make checks payable to Village of Millersport and send them to 2245 Refugee St., Millersport, OH 43046. For questions, contact Thomas Nebbergall at [email protected] or 614.357.1806.

About notarization

This form does not require notarization; it lists donor information and payment options but does not mention a notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Form

    Download the Veteran Brick Order Form to review the brick and replica tile options.

  2. 2

    Complete Donor Information

    Provide your name, address, city, state, ZIP code, email, and phone number.

  3. 3

    Prepare Payment

    Choose cash or check. Make checks payable to Village of Millersport.

  4. 4

    Send Your Check

    Send checks to 2245 Refugee St., Millersport, OH 43046.

Frequently asked questions

What can I order with the Veteran Brick Order Form?
The form lists a 4-by-8-inch gray brick for $30 and a 4-by-4-inch black replica tile for $10 for the Village of Millersport's Veteran's Memorial walkway.
How do I submit the Veteran Brick Order Form?
The form lists cash or check as payment options. Make checks payable to Village of Millersport and send them to 2245 Refugee St., Millersport, OH 43046.
Do I need a notary for the Veteran Brick Order Form?
No. This form does not require notarization and does not mention a notarized attachment or sworn step.
Who can I contact with questions about the order?
The form lists Thomas Nebbergall as the contact for questions, with the email [email protected] and phone number 614.357.1806.

Need something notarized?

This Veteran Brick Order Form doesn’t need a notary — but if you have another Millersport form that does, a commissioned online notary can help.