Engraved Brick Ordering Form
Thank you for being part of this legacy!
We are requesting a minimum donation of $100 to engrave a custom brick for the prayer garden. Each form submission orders one brick—please submit additional forms to engrave more bricks.
Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
Donation amount per brick
Engraving Request
Guidelines: Each brick may have up to 3 lines of text. Each line may have up to 17 characters per line (e.g. letters, numbers, spaces, commas, dashes, etc.).
1st Line
2nd Line
3rd Line
Please take a moment to review your engraving request and confirm your approval by checking the box below. THE ABOVE TEXT WILL BE THE FINAL VERSION SUBMITTED FOR PRODUCTION.
*
I have carefully reviewed the engraving text above and approve it as my final submission.
Submit
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