Wall of Service Order Form

2017 Brick Installation Dates:

March – if order and payment received by February 10, 2017
June - if order and payment received by May 12, 2017
November – if order and payment received by September 25, 2017
December - if order and payment received by November 6, 2017

(Note: Early brick installation is available for an additional fee, time permitting. If you are interested, please call Maria Almeida, Donor Relations Manager, at 902-420-6656 for details.)

Purchaser’s Information
Wall of Service Information

Guidelines: Maximum of 32 characters including spaces and punctuation for the rank and name. - Maximum of 32 characters for the Service/Regiment/War Bride. No symbols, titles or dates are permitted.

Recipient(s)’ Information

With your approval, your personal message, if provided above, will also be released for the sole use of the Canadian Museum of Immigration at Pier 21. It may be shared in-house, online and electronically. This gives Canadian Museum of Immigration at Pier 21 permission to share your message but not your address. Please let us know if you have any questions.

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