Application to Purchase a Veteran's Commemorative Paver Stone

A Paver Stone can be purchased for any veteran, living or dead, that served in the military. The Paver Stone will be cut from actual stone and will be engraved with the veteran’s name and branch of service. These Paver Stones will be placed adjacent to walkways at the Veterans Memorial. You can fill out the form below to send in your application via email or click on the link below to download a pdf version to mail in.

SUBMIT FORM BY EMAIL

If you would like to send in your application online, please use the form below. We do not accept online payments at this time, so please submit your payment to the address listed in the email confirmation you will receive after submitting the form.

DOWNLOAD AND SEND FORM BY US MAIL

Click below for the PRINTABLE veteran’s stone application

Application for Veteran’s Paver Stone 

After printing, please mail to:
Clearwater County Veterans Association
P.O Box 27
Bagley, MN  56621

 If at the Kiosk – Email the link to yourself by entering your email below:
(Please check your junk mail if link does not appear in your inbox)