Veteran's Memorial Brick Program

The purpose of the Sumter County's Veteran's Memorial Park is to pay tribute to the men and women who have served our country and provided us with the most precious gift of all, our freedom.
The Board of Sumter County Commissioners is proud to provide our community with the opportunity to purchase a paving brick engraved with a tribute to your loved ones who served in the United States Armed Forces.

Sumter County Veteran's Memorial is located in front of the Sumter County Courthouse in Bushnell, FL. Purchasing an honorary brick is easy, just follow the steps below.

Complete the Application below.
Pay $50 online or by check made out to "Sumter BOCC".
Bricks are ordered in July and placed at the Veteran's Memorial Park by the end of September each year.
Veterans will be recognized at a Veterans Day Ceremony.

Request for Brick Placement at Sumter County's Veteran's Memorial Park

Sumter County Veteran's Memorial Park Order Form
First Name:*
Last Name:*
Address:*
City:*
State:*
Zip Code:*
Applicant's Email Address:*
Applicant's Phone Number:*
Is this brick engraving done:
PRINT NAME TO BE ENGRAVED ON BRICK (Limit of 21 characters per line):*
Branch:*
Rank:*
Please note this is for verification purposes only. Rank is not included on bricks.
Years of Service (Example: 1940-1949):*
Verification Documentation of Veteran Status:
By submitting this request, the applicant is confirming that they have provided correct information for the brick engraving. I understand that until the $50 payment for the brick is made, this application will not be processed.*
1. I confirm.

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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