EAA Memorial Wall Application

Back


ABOUT SSL CERTIFICATES

Each individual inscription is limited to two lines of 28 characters each.  In addition to the person’s name, you may wish to include any aviation or military related titles, EAA member number, hometown, and/or the sentiment of your choice.  The individual 2-line inscriptions are cast onto large bronze tablets containing multiple names, and these tablets are installed on the Memorial Wall each year immediately prior to EAA AirVenture Oshkosh.

   

* fields are required to process this form  

  

Each line is centered and fits up to 28 characters which includes letters, numbers, punctuation and spaces.

Inscription Line 1: 

Inscription Line 2: 

Was this person an EAA Member? 

Yes -   
No

*Birthdate: 

(mm/dd/yyyy)

*Date of Death: 

(mm/dd/yyyy)
If nicknames or sayings are part of the inscription, does the family approve?   Yes   No
  

*Contact Name:

*Address:

City/State/Zip:
*Phone:
E-mail 
*Donation Amount:
($350 at minimum)
*Credit Card Type:
*Credit Card Number:
*Expiration Date:

Mo. Yr.

 

Please submit by April 21 for current year's AirVenture dedication service.
Submit your request here online with your credit card number
 or print and complete this form then send with your check (payable to EAA) to:

EAA Aviation Center
Attn: Development Dept.
P.O. Box 3086
Oshkosh, WI  54903-3086

  

Back