FLORIDA AIR ACADEMY COMMEMORATIVE BRICKS

Florida Air Academy is providing a unique opportunity for you to commemorate your association with the Academy.  For your donation of $100.00, you may purchase a brick and have your name or message engraved on it. These bricks will line campus sidewalks and courtyards as a tribute to you and your loved ones. There is currently a display of these in the Falcon's Next Counrtyard area.

In the space below indicate the enclosed amount you are donating.

1. For your donation of $100.00 you may purchase a brick with your engraved name or message. Number of Bricks_______ Amount enclosed ________.

I would like to build the future, and leave a legacy. Enclosed is a check or money order for $100.00 per brick, payable to Florida Air Academy.

The inscription should read:

Brick #1        PLEASE PRINT     Note: one letter per box please.

Brick #2        PLEASE PRINT     Note: one letter per box please.

Additional orders may be included on a separate sheet of paper.

Name ___________________________________________ Date___________

Address _________________________________________ Class of ________

City/State/Zip ________________________________ Country _____________

Mail order form and check or Money Order in U.S. funds to:

Florida Air Academy Attention: Mrs. Deborah Dwight

1950 S. Academy Dr., Melbourne, FL   32901