Lamphere Scholarship Fund - Engraved Bricks Order Form

The Lamphere Schools > Special Projects > Engraved Bricks Order Form

Saturday, May 18th, 2013

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Items denoted with a red asterisk * are required.

* Purchaser Name

First Name

Last Name

* Address

Address 1

Address 2

City

State

Zip Code

* Phone Number

- -

(XXX)-XXX-XXXX

Email Address

Choose Brick Size

4" x 8" Bricks - up to three lines of text, 15 characters per line.

8" x 8" Bricks - up to five lines, 15 characters per line.

12" x 12" Bricks - up to seven lines, 15 characters per line

Please use the fields below named Line 1 through Line 7 to personalize your brick.Maximum of 15 Characters per line - this includes spaces and punctuation.

*Please note: At our sole discretion, we reserve the right to refuse orders we consider to be in poor taste.

4" x 8" Bricks can accomodate up to 3 lines.

8" x 8" Bricks can accomodate up to 5 lines.

12" x 12" Bricks can accomodate up to 7 lines.

Line 1 - Max 15 characters

Line 1 for any size brick

Line 2 - Max15 characters

Line 2 for any size brick

Line 3 - Max 15 characters

Line 3 for any size brick

Line 4 - Max15 characters

Line 4 for 8x8 or 12x12 bricks only

Line 5 - Max 15 characters

Line 5 for 8x8 or 12x12 bricks only

Line 6 - Max 15 characters

Line 6 for 12x12 bricks only

Line 7 - Max 15 characters

Line 7 for 12x12 bricks only

Once you click the button below to place your order you will be taken to another screen with a link to pay for your brick.

The payment process must be completed before we can order your brick.

Thank you for your support. If you have questions or need assistance, please contact Jeanne Berlin
Phone: 248-589-1990
Email: berlinj@lamphere.k12.mi.us