“Confederate Memorial of the Wind”

 Texas Division Sons of Confederate Veterans Donation Receipt for 4”x8” brick           

mail to:

Granvel J. Block, Texas Div. Cmdr.

1604 Buckingham Dr.

Orange, Texas 77632

Please make checks payable to "Texas Division - SCV"

 

Donor name

 

Address

 

City

 

State/Province

 

Postal code

 

Phone

 

Total pledge amount

$50.00

 

4x8 Brick, 3 Lines, 18 Characters per line (Maximum)

Line #1

 

Line #2

 

Line #3

 

 

 

Type of donation

 Cash

Description

"Texas Division-SCV"   Confederate Memorial Fund

Value

$50.00