Dust Bowl Historical Foundation, Inc.
 c/o  601 24^th Street
Bakersfield , California 93301

 Application for Memorial Brick(s)

Dust Bowl Historical Park at the Sunset / Weedpatch Camp

 Purpose:     Inscribed granite bricks are intended to memorialize the men, women and families who migrated to California during the Dust Bowl era.  The bricks will be set into a walkway through the Dust Bowl Historical Park at the Sunset/Weedpatch Camp after placement of the three 1930’s buildings is finalized and the preservation and restoration of buildings is completed.  Your donation is tax deductible.

Brick Choices:    Granite bricks are available in two sizes.  The 4” x 8” bricks are available for $100 each and may be inscribed with up to three lines of text (15 characters and spaces per line maximum).  The 16” x 16” bricks are available for $400 each and may contain up to 5 lines of text (20 characters maximum).  Upon approval, logos may be added to the larger bricks ($75 additional charge).  The inscribed granite bricks are California Sierra White granite, and the walkway will then be edged with bricks of Oklahoma Red granite.

 

Copy the form below and send to the address below.

 

[   ]  4” x 8”  brick size and inscription - print carefully and legibly, one character or space per box maximum

First line:
[   ]  [   ]  [   ]  [   ]  [   ]  [   ]   [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ] 

Second line:
[   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]

Third line:
[   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]  [   ]

 

[   ]  16” x 16”  brick size and inscription - print carefully and legibly, one character or space per box maximum

First line:    
[   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ]  

Second line:
[   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ]  

Third line:
[   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ]  

Fourth line: 
[   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ]  

Fifth line:  
[   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ][   ]  

 
Name:  ______________________________________________________________________  

Street Address:  _______________________________________________________________  

City, State, and Zip Code:  ______________________________________________________  

Daytime Telephone:  ___( ______)_______________________________________________  

Fax Number:  ___(_____)_________________  E-mail:   _____________________________  

Mail with payment (check or money order only, no cash) to:       
    Dust Bowl Historical Foundation, Inc.
     c/o Housing Authority of the County of Kern
     601 24^th Street
     Bakersfield , California 93301

Please direct questions to Randy Coats, Linda Coulter or Susan Gonzales at (661) 631-8500.
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For office use only:

Date Received:___________________                                                         Brick Ordered:______________________

Payment Received:   Yes    No                                                                           Brick Received:_____________________

Receipt Number:_________________