Palmateer Donation Forms
BUY A BRICK
Sgt. Mark C. Palmateer
Monument & Memorial
A Tribute to the Courage and Sacrifice of former Town of Wappinger
resident and Army National Guard Sergeant Mark C. Palmateer
The first soldier from Dutchess County to die in the War on Terror
I would like to purchase and personalize a 4"x8" brick for $100 to be installed in the
Sgt. Mark C. Palmateer Memorial (3 Unes up to 18 characters each line including spaces)
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I would like to make a donation towards the cost of the Sgt. Palmateer Memorial
_ Warrior $500
Name
Address
Phone Number
Patriot $250 _ Supporter $100
Other
PLEASE MAKE CHECKS PAYABLE TO: ''TOWN OF WAPPINGER - SGT. PALMATEER MEMORIAL"
Return this fonn to: COUNCILMAN WILUAM BEALE, P.O. BOX 375, HUGHSONVILLE, NY 12537