Millersville, PA · Lancaster County
Veterans Brick Order Form
Millersville residents and other purchasers use this form to order an engraved brick for the Veterans Memorial and provide payment and inscription details.
What this form is
Use this form to order a brick for the Millersville Veterans Memorial courtyard and choose a veterans or other brick. It asks for purchaser contact information, an inscription of up to 15 characters per line, brick options, and payment details. Return the bottom portion with payment; the form lists different prices for two or three lines of type.
Who needs it
Anyone wishing to purchase an engraved brick for the Millersville Veterans Memorial uses this form to provide an inscription and payment.
How to submit it
Detach and return the bottom portion with payment to Millersville Borough, 100 Municipal Drive, Millersville, PA 17551-1424. Make checks payable to Millersville Borough.
About notarization
This order form is completed without a notary; no sworn or notarized attachment is mentioned, and the purchaser completes the order information and payment.
How to submit this form
- 1
Download The Form
Download the Veterans Brick Order Form.
- 2
Complete The Order
Provide purchaser contact information, select a brick option, and write an inscription of up to 15 characters per line.
- 3
Prepare Payment
Include payment details and make checks payable to Millersville Borough.
- 4
Return The Order
Detach and return the bottom portion with payment to the Borough's listed address.
Frequently asked questions
- Do I need a notary for the Veterans Brick Order Form?
- No. This order form is completed without a notary, and it does not mention a sworn or notarized attachment.
- How do I submit the Veterans Brick Order Form?
- Detach and return the bottom portion with payment to Millersville Borough, 100 Municipal Drive, Millersville, PA 17551-1424. Make checks payable to Millersville Borough.
- What information does the form ask for?
- It asks for purchaser contact information, the brick type, an inscription of up to 15 characters per line, and payment details.
Need something notarized?
This Veterans Brick Order Form doesn’t need a notary — but if you have another Millersville form that does, a commissioned online notary can help.