Honoree Submission Form

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Who is eligible to be honored? Anyone who has served honorably in the armed forces or is currently on active duty. The Walk also will honor anyone who is a member of any organized law enforcement agency, fire and rescue service, emergency medical service or  other emergency organization.  Click here to view the 911 Emergency Service Memorial

With your purchase of a brick you will receive an 8 1/2" X 11" certificate, suitable for framing, to give to the honored military veteran or a member of Emergency Services.

We also invite you to include a photo and a short biography of the honoree. The photos and biographies will be used to create an online catalogue of names on the Walk of Honor. Each honoree will have their own web page (example).

Honorees and their families are invited to send in any service related experiences, war or otherwise, that they would like to share. These experiences will be added to the "Service Stories" section of the web site.

For genealogists, descendants and family members of the honoree, the Walk of Honor provides an opportunity to honor your ancestors or family members and share your family's personal story with the world.


Please fill in the following information to order your brick.  Please fill out form for each Honoree.  Please note that your brick will not be ordered until payment in full is received.  Contact Herman Mc Lawhorn at 252-522-0517 or email at hhmclawhorn@yahoo.com

Please provide the following contact information:

Name test by walk
Street Address
City
State
Zip
Work Phone
Home Phone
E-mail

Please provide the of the person who is honoring this veteran:

Name

Please provide the following honoree information:

Name

Honoree Bio:

I will send photo: (Photo excepted by email or mail)  Email to hhmclawhorn@yayhoo.com or amail to Walk of Honor, 183 Academy Heights Rd., Kinston, NC  28504

Yes
No

Choose Branch of Service:

Date of Service:

Maximum of 20 characters per line including spaces and punctuation marks  Name and wording should be exactly as you would like to see it appear on the brick.
Choose one of the following Brick sizes:

2 lines with logo or image of your choice (100.00) *
3 lines ($100.00)
4 lines ($200.00) with logo or image of your choice ($225.00) *
5 lines ($250.00)
6 lines ($300.00)
* The walk has logos and seals of all five if the uniformed services. Other images are available (please call the curator. 252 522 0517).

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Line 2

Line 3

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Line 6

Payment method

Check
please mail check to Walk of Honor, 183 Academy Heights Road, Kinston, NC 28504