• Camden Township

KIPTON/ CAMDEN/ HENRIETTA MEMORIAL WALKWAY


You can give you family or a love one in your life a lasting tribute by recognizing them on the walkway around our Roll Call Monuments. They can be in memory of, in honor of, or in appreciation of persons or groups. The engraved pavers are 4"x 8" and are engraved with up to three lines of 15 characters (this includes letters, spaces & punctuation.) The information will be centered on the brick.

Cost is $30 per brick. We reserve the right to refuse any inappropriate language.

Please enclose your money with the form. Make check payable to: Kipton/Camden Memorial Day Committee.

If you would like the brick placed by Memorial Day the form must be to us by April 1st of that year.

For example:

A 1st line I n Memory of (uses 12 spaces)

2nd line _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

3rd line _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Please print the 3 lines legibly:

1st line _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

2nd line _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

3rd line _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Your Name:____________________________________________

Address:_______________________________________________

Phone:________________________________________________

Cash____________Check(Amount & Number)_________________

Make check payable to:

Kipton/Camden Memorial Parade Committee

P.O. Box 19

Kipton, OH 44049

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