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
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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