click here to return to the previous page

Please complete the below forms (Forms FMBS 1A & FMBS 1B) and return them, with your cheque, to the following address.

Buy a Brick Appeal
Campaign Office
Fusiliers Museum Lancashire
Wellington Barracks
Bury
BL8 2PL

Cheques to be made payable to Fusiliers Museum Appeal.

The Fusiliers Museum, Lancashire
Buy a Brick Appeal. Form FMBS 1A.

Number of Bricks Required:_____________________

Name of Applicant:

___________________________________________

Address of Applicant:
(please note this is purely for the information of administering the brick scheme and will not be used for any other purpose)

___________________________________________

___________________________________________

___________________________________________

Post Code:____________

Telephone Number:____________

Date Of Application:____________

(Please make cheques payable to: Fusiliers Museum Appeal)

For Office Use.

Staff Member:____________________________

FMBS 3 Receipt Number:___________ Brick Numbers:___________

Remarks:____________________________________________

_________________________________________________

_____________________________________________

The Fusiliers' Museum, Lancashire.
Buy a Brick Appeal. Form FMBS 1B.

Please print your message(s) in the box(s) below, 30 words per brick maximum.

* The Brick Dedication will be the name on the Brick and certificate

Please send completed form to:

Buy a Brick Appeal
Campaign Office
Fusiliers Museum Lancashire
Wellington Barracks
Bury
BL8 2PL

Downloaded from http://www.fusiliersmuseum-lancashire.org.uk/