For a donation of 150 Euros / 195 US$, your stone will be laid on the Airborne Memorial Path by June 2009.

Print this page and send it, together with your payment, to the following address:

Michel De Trez
Carentan Historical Center
103-105 Rue Marcelis
1970 Wezembeek-Oppem
BELGIUM

I would like to order a stone to be placed in the Airborne Walk in front of the Purple Heart Lane Airborne Museum, Normandy, France.

Enclosed is my donation of $ 195 - 150 Euros.
In the boxes below, please write the name and unit that you would like engraved on your stone. (5 lines of 24 characters each, with punctuation and spaces counting as a character)
Here are my contact details :
First name :
Last name :
Address :
City :
State :
Zipcode :
Country :
Telephone :
Email :
I would like to pay for my order :
By cheque made payable to Michel De Trez, CHC
By credit card (Visa/Mastercard)
Card number
Expiration date
Date and signature