Become a part of Firefighters Museum History

BRASS PLAQUE ORDER FORM

Become a part of Firefighters Museum History

Here is your opportunity to become a part of the Firefighters Museum - to take your place in the pages of Calgary's History.

INVOICE

No. XXXX

The purchase price of $25.00 will have your name inscribed on a BRASS PLAQUE that will be placed on the walls of the future ' Firefighters Museum - Heritage Center '. This distinctive building, to be built in Calgary, will house apparatus and artifa cts from a by-gone era and include up-to-date displays. Make gift giving unique and easy, buy one for a friend, relative or employee.

Follow the instructions on the attached form and order yours today.

Make cheque or money order
payable to:	FIREFIGHTERS MUSEUM SOCIETY

Please mail to:	FIREFIGHTERS MUSEUM SOCIETY BUILDING FUND
	c/o FIRE DEPARTMENT HEADQUARTERS
	4124 - 11 Street S.E.
	Calgary, Alberta.
	T2G-3H2

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ORDER FORM

PURCHASER
NAME____________________________________________________________________________________________
	Surname	First		Initial
ADDRESS			TELEPHONE
Street: _________________________________________________			Home: ____________________________
City:___________________________________________________			Business: __________________________
Province/State: __________________________________________
Zip/Postal Code: _________________________________

BRASS PLAQUE INSCRIPTIONS: 20 characters maximum, including spaces and punctuation.
CHARACTERS ALLOWED:			ABCDEFGHIJKLMNOPQRSTUVWXYZ 1234567890"( )" - , . +

			Inscription	Payment included
1.	BRASS PLAQUE	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _			________ 1. @ $25.00
2.	BRASS PLAQUE	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _			________ 2. @ $50.00
3.	BRASS PLAQUE	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _			________ 3. @ $75.00
4.	BRASS PLAQUE	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _			________ 4. @ $100.00
5.	BRASS PLAQUE	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _			________ 5. @ $125.00

Paid by:	Check '	Money Order'	MasterCard '

Card #______________________________

Expiry Date______

Signature________________________

Note: All N.S.F. Checks will be charged a $20.00 service fee.

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If necessary, attach a sheet with additional names. We reserve the right to refuse orders of questionable taste

Registered Society

503632277

White - Customer

Canary - Museum Society

Pink – Engraver

INVOICE

No. XXXX

MISSION STATEMENT	MEETINGS
EVENTS	FAQ and HOT LINKS
BUILDING PROJECT	RESTORATION PROJECTS
CATALOG	PHOTO GALLERY
MEMBERSHIP	ACKNOWLEDGMENTS
MUSEUM	MUSTER '97
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