Family & Memorial Brick order form
Memorial bricks honor deceased loved ones and are located behind the church near the statue of Mary. Family bricks are located near the water fountain in front of the church and make great gifts for students, family members and friends. Each brick offers 2 lines and 14 characters per line, including spacing and punctuation. If you need to order more than one family and/or memorial brick, please complete another form. Proceeds will benefit the replacement of the carpet in the A/B Meeting rooms.
Brick selection
*
prev
next
( X )
Memorial Brick
$
100.00
Family Brick
$
100.00
Total
$
0.00
Credit Card
First Name on card
Last Name on card
Credit Card Number
Security Code
Expiration Date
Postal Code
Memorial Brick Line 1
Maximum 14 characters incl. symbols & punctuation
Memorial Brick Line 2
Maximum 14 characters incl. symbols & punctuation
Family Brick Line 1
Maximum 14 characters incl. symbols & punctuation
Family Brick Line 2
Maximum 14 characters incl. symbols & punctuation
Your name
*
First Name
Last Name
Phone number
*
Email
*
example@example.com
Submit
Should be Empty: