order form

Type in your information, print, and mail to the address below.

Please send check to:

NEWBA Inc.
1936 Wild Wood Rd.
Sister Bay, WI 54234

TRIBUTE STONE ORDER FORM
Phone: 920-421-1353
E-Mail: memorial4bikers@gmail.com

Last Name:
First Name:
Home Phone:
Work Phone:
Mailing Address:	Address
E mail address:
Tribute Stone Engraving:	JOHN SMITH MADISON 1950 - 2000 REST IN PEACE

Tribute stones are available for a cost of $150.00 each. Please make check payable to N.E.W.B.A. Inc. and send to the address above. After full payment is received tribute stone will be engraved.

Please fill in what you wish engraved to the left under "Tribute Stone Engraving". You may use up to 4 lines with 13 characters per line, including spaces and punctuation for each stone. The lettering will be centered on the stone. Please check information carefully, "Tribute stones" are engraved from the information you supply. We reserve the right to review all wording.

Example:

JOHN SMITH
_ _ _ _ _ _ _ _ _ _ _ _ _

MADISON
_ _ _ _ _ _ _ _ _ _ _ _ _

1950 - 2001
_ _ _ _ _ _ _ _ _ _ _ _ _

If you wish to know when your stone will be laid, or if you would like the stone placed next to another stone (ie: a club or organization) please let us know, and we will e-mail you.

*NOTE*
Because of frost we will not lay any stones during the winter months