The FASNY Firemen’s Home

The Eternal FlameFirefighters’ MemorialAt the Firemen’s Home • Hudson, New York

Truly a memorial for all who have served the New York State volunteer fire service.

Over 2,400 bricks have been purchased.Buy a memorial brick and support the Firemen’s Home. This is a great way to remember or

honor an individual or organization for their contribution to the volunteer fire service.

Order Form

Please enclose your donation of $25 payable to:Firemen’s Association of the State of New YorkMemorial Fund107 Washington AvenueAlbany, New York 12210Please engrave my brick as shown below (Maximum: Two Lines, 16 Characters Per Line)__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ____ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __Please Note: We are unable to guarantee requests to place bricks alongside one another.

Fire Organization ______________________________________________________________________

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Contact Person __________________________________________________________________________

Address ____________________________________________________________________________________

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Phone ( ___________ )_________________________________________________________________________