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Wall of Service at Warbird Park

Nameplate Order Form



Engraved nameplates are 2 x 7 inches and limited to grade, name and years of service - $20 donation per nameplate

Order Form
Grade (Military or Civilian)
Name
Served at Myrtle Beach Air Force Base
from:  

to:  

The information below is desired to create a Myrtle Beach Air Force Base database for names on the Wall of Service

Job Title/Position (Pilot, Engineer, Gunner, etc.):
Unit (Squadron, Group, Wing):
Date of Birth:  
Place of Birth:

If Purchasing for a Deceased Member:
Date of Death:  
Place of Burial:

Contact Information

Person Completing Application:
Phone With Area Code:
Email Address:


 
       
 

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City Hall
937 Broadway Street
P.O. Box 2468, Myrtle Beach, SC 29578
(843) 918-1000   Fax: (843) 918-1028
 
Copyright 2010. The City of Myrtle Beach.  All rights reserved.