Brick Sponsorship Form

Brick Sponsorship Form

Please complete this form - one form per brick required. Please note, any inscriptions do not go directly on to the brick but on a perspex plate which will attach over the brick.
Name

First NameLast Name
Email
example@example.com
Phone Number
Inscription - Your personalisation will be printed on a perspex plate and then attached to the wall, over a brick in the bar. You can have whatever inscription you choose. We do insist that your inscription is 'family friendly'.
Bricks are a recommended cost of £50 - please feel free to pay more if you can! One you've submitted this form, an invoice will be sent to you for the amout you state below.
I will pay the below amount for my brick plate:
Minimum £50
Thanks so much for buying in support of 53two.

Once you press Submit, you'll be redirected to our charity donation page. Please consider giving just £1 a week. For many, that's not a great amount, but for us, collectively, that community support can help massively.
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