Be a permanent part of the new Clubhouse with an engraved brick
Please fill in your details, message or name required on the brick, taking care not to use over the specified characters. Please pay using the payment method below. Many Thanks for your support. This form will be directly emailed to Nerys who will ensure your brick is ordered.
£70 - Standard brick - 15 Characters
£280 - Large brick - 60 Characters
Name
First Name
Last Name
E-mail
example@example.com
Gift Aid Declaration - Using Gift Aid means that for every pound you give, BRFC gets an extra 25 pence from HM Revenue & Customs. I am a UK Tax Payer. Please treat all donations I make or have made to BRFC for the past four years as Gift Aid donations until further notice.
Yes
No
1 order - £70 - write your 15 characters - count gaps as characters.
2nd order - £70 - write your 15 characters - count gaps as characters.
3rd order - £70 - write your 15 characters - count gaps as characters.
4th order - £70 - write your 15 characters - count gaps as characters.
5th order - £70 - write your 15 characters - count gaps as characters.
1st order - £280 write your 60 Characters - Please enter your name or message. Count gaps as characters.
2nd order - £280 write your 60 Characters only - Please enter your name or message. Count gaps as characters.
Payment for my Bricks
*
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£70 - 15 Character brick
£
70.00
Quantity
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Item subtotal:
£
0.00
£280 - 60 character brick
£
280.00
Quantity
1
2
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8
9
10
Item subtotal:
£
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Submit Form
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