The PHS Alumni Plaza Brick Program

The PHS Alumni Plaza Brick Program

for PHS Alumni & Retired District Employees
Name

First NameLast Name
Donations are $100 for a 4” x 8” brick. Add $25 for clip art.

Purchasing a PHS Alumni Plaza brick is an opportunity to leave an imprint at Pleasantville High School in a unique, charitable way. For $100, your graduate's or retiree's name is etched on a premium-quality red brick for placement in PHS Alumni Plaza. Brick donors and honorees are invited to the annual brick-laying ceremony at Alumni Plaza on PHS Homecoming Weekend. Monies raised through your brick donation go to the Pleasantville Fund for Learning (PFFL), a 501(c)3 non-profit that provides private funding to enrich public education programs in the Pleasantville School District.

ALL FORMS ARE DUE ON SEPTEMBER 1st OF EACH YEAR. THANK YOU.
Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address 1:
example@example.com
Email Address 2:
example@example.com
Please engrave our personalized brick as follows:
4” x 8” bricks can have up to 3 lines of text , 20 characters per line without clipart and 16 characters with clipart
ANY SYMBOL IS CONSIDERED ONE SPACE (PERIOD, COMMA, DASH). ALL TEXT IS CENTERED
Line 1 (20 characters/spaces total)
Extra character/spaces will be removed
Line 2 (20 spaces total)
Extra character/spaces will be removed
Line 3 (20 spaces total)
Extra character/spaces will be removed
Pick Clip Art
Please write a paragraph or two to read at the ceremony. We will print it out for you.
*For quick payment, please use the QR code to the right.

*Completed forms can be mailed along with your tax deductible check to the below address and click submit:

“PFFL” (Pleasantville Fund for Learning) - PLEASE MAKE CHECK OUT TO

Pleasantville Fund for Learning

60 Romer Avenue, Pleasantville, NY 10570
Should be Empty: