Memorial Brick Order Form

Lincoln City Football Club
ProAmpac Stadium, Lincoln, LN5 8LD
01522 880011
memorialbrick@theredimps.com
Memorial Brick Order Form
Your details
Contact name:

First NameLast Name
Contact email address:
example@example.com
Contact tel no:
Format: (07)000-000000.
Wording
Please enter your wording, exactly as you would like it to appear, in the boxes below. The maximum number of characters is 16 per line (including spaces).

Please take care with spelling and capital letters as mistakes cannot be rectified.

Cost: £60.00 (incl VAT)
YOUR WORDS HERE (Line 1)
YOUR WORDS HERE (Line 2)
You can pay by phone on 01522 880011, or by popping into the ticket office.

Please note: memorial bricks are ordered in batches and can take around 12 weeks once ordered to arrive. Once they have arrived, the facilities department will be made aware and your brick will be mounted on the wall at the earliest opportunity.
Please sign here to confirm that you have read the above information, and that the wording you'd like engraved on the brick is correct.
Lincoln City Football Club Company Limited, Registered Office: ProAmpac Stadium, Lincoln, LN5 8LD
Registered in England & Wales: Company Number 00045611
Should be Empty:

Lincoln City Football Club