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Revised and Approved as of June 16, 2016 Providing the Veterans of Pahrump with a lasting memorial in appreciation and gratitude for their Honorable Service, Courage and Sacrifice for our Country. Name: Address: City: State: Zip: Email: Contributions of $125.00 or more will allow for those donors to have a very nice 3 in. by 5 in. bronze plaque inscribed with their name and information or unit which will be mounted on the Veteran’s Contribution Wall at the Pahrump Veteran’s Memorial. Please fill in the blocks below. Each block will count for one letter, number or space. Please print neatly. All lettering will be centered automatically. The Pahrump Veterans Memorial Advisory Committee has the right to refuse any negative quotes or saying or inappropriate language. Amount of donations Please make checks payable to: Town of Pahrump Mail to: For Additional Information Call: Town of Pahrump Town of Pahrump Pahrump Veterans Memorial AC (775) 727-5107 Ex. 1 2100 E. Walt Williams Dr., Suite #100 [EMAIL REDACTED] Pahrump, NV 89048 3in x 5in Plaque