Engraved Brick

DayBreak Memory Garden

Engraved Brick Order form
We would like to encourage all supporters of DayBreak, 1st Church, and our community to purchase individual engraved brick pavers to be placed around our labyrinth. If you have a family member or our community member that you would like to honor, we are offering a space on our labyrinth where you can place a memento of your love and care. Each 4x8 inch brick paver includes a maximum of 3 lines of text with 14 characters per line (includes spaces and punctuation). All proceeds will benefit the mission and families of DayBreak Dementia Respite. The cost is $100 for the first brick, $50 for a second brick or more.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
HOW TO ORDER

Type one character per box. Spaces and punctuation count as a character. Bricks have three lines with a maximum of 14 characters per line. All inscriptions are subject to approval by DayBreak and will be engraved in all capital letters with centered justification.

Example- will be centered when engraved

Questions: call 865-315-2371 or email info@daybreakcare.org

1ST 4x8 Brick -Bricks are RED and will be engraved in ALL CAPITAL BLOCK LETTERS. Lettering will be centered when engraved. Use TAB button to move to each block. Place one letter in each block.

Rows	1	2	3	4	5	6	7	8	9	10	11	12	13	14
Row 1
Row 2
Row 3

2nd 4x8 Brick -Bricks are RED and will be engraved in ALL CAPITAL BLOCK LETTERS. Lettering will be centered when engraved. Use TAB button to move to each block. Place one letter in each block.

Rows	1	2	3	4	5	6	7	8	9	10	11	12	13	14
Row 1
Row 2
Row 3

3rd 4x8 Brick -Bricks are RED and will be engraved in ALL CAPITAL BLOCK LETTERS. Lettering will be centered when engraved. Use TAB button to move to each block. Place one letter in each block.

Rows	1	2	3	4	5	6	7	8	9	10	11	12	13	14
Row 1
Row 2
Row 3

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Brick #1
First Brick is $100. Each additional brick is $50. Use the option below to order a 2nd or 3rd brick.

$100.00 Quantity

Additional Bricks after the first- Select how many with the drop down.
$50.00 Quantity

Total

$0.00
I Have proofread each block and all text is spelled correctly with the correct spacing and punctuation.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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DayBreak Memory Garden

HOW TO ORDER

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