Family or Business Brick Form
The Galesburg Railroad Museum has constructed a depot style Museum in Colton Park.
Available for a donation of $500.00 or more, is a larger brick for a family or business. The size of the larger brick is 4"x8"x12" and will be that of CHARCOAL BLACK GRANITE with your logo or names you designate engraved on the brick.
Please feel free to call the Museum, (309) 342-9400 for questions about logos being engraved on your brick as others have done this in the past.
All donations used to maintain the museum building, Engine 3006, the Meath car, the RPO car and the Caboose of the Galesburg Railroad Museum.
Please print out form, and complete the following:
Name:_______________________________________________________
Address: _____________________________________________________
City: ________________________________ State ______ Zip:__________
Phone: ( _________ ) ___________________
Engraving on brick:
( Please print one letter per box. )
Line 1
( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ )
Line 2
( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ )
Line 3
( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ )
Line 4
( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ ) ( ___ )
Please note: Engraving will be limited tofour ( 4 ) lines with 12 characters per line.
All checks should be made payable to: Galesburg Railroad Museum
Mailing address
Galesburg Railroad Museum
P.O. Box 947
Galesburg IL 61402-0947
Amount Enclosed ________ Check # ____________ Date ____________________


