Police Memorial

Police Memorial Committee Members (from left)

Ginger Bennett, Capt. Chad Dorn, Deputy Chief David Ervin, Chief Jim Luke, Capt. Lane Pittman, Kris Landrum

PICAYUNE POLICE MEMORIAL/PAY IT FORWARD FUND

MEMORIAL/HONOR
ENGRAVED BRICKS

If you have a Family Member or Friend who Served or Serves Proudly In Good Standing with The Picayune Police Department

Purchase a Brick "IN HONOR OF" or "IN MEMORY OF"
Your Special Law Enforcement Officer

To Purchase see any Picayune Police Officer to receive your Engraved Brick Order Form, or print this form, fill out form and mail in or drop off at the Picayune Police Department. 

Bricks are 3" x 9" with (03) three lines engraved. Each line up to 14 characters per line. Cost is $50.00 for each Brick. 

Additional options to choose from: 

In Honor Of, In Memory Of 

Division: Patrol-CID-Traffic-Corrections-Records-Animal Control

Special Services: Motorcycle Officer-K-9 Officer-DUI Officer-Tactical Officer

Rank-Service Awards-Service Dates. 

Certified Officers must have served minimum of 1 year, Support personnel must have served 5 years minimum. 

Print Police Officer's name as well as any additional information in the boxes given below.

Please make check payable to: Picayune Police Memorial/Pay It Forward Fund, in the amount of $50.00.

Do You Wish to receive a certificate of Ownership? Circle: Yes    No 

Thank You for Your Support of our POLICE OFFICERS!!

Mail to: 
Picayune Police Department
328 South Main Street
Picayune, MS  39466

Any questions, please call 601-798-8653. 

Your contact information:

NAME:

ADDRESS:

PHONE:                      

EMAIL ADDRESS: 

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