ORDER FORMAT

             Poston Fundraising Brick
                 ORDER FORM 
                  $100 or more donation brick
                 (please print legibly to avoid errors) 

Brick sponsor's name: ___________________________

Address_______________________________________

City/State/Zip___________________________________

email:_________________________________________

phone: _______________________________________



** The brick has space for 3 lines with a MAXIMUM of 14 spaces
 (be sure to include proper spacing) on each line.**

LINE 1

 
__  __  __  __  __  __  __  __  __  __  __  __  __  __

 LINE 2  

__  __  __  __  __  __  __  __  __  __  __  __  __  __

LINE 3

 __  __  __  __  __  __  __  __  __  __  __  __  __  __

1 comment:

  1. The Brick Project is a wonderful idea. My sisters and I will be doing a Brick for my parents, George Taniguchi and Amy (Nishimura) Taniguchi. They were both in Block 221.

    ReplyDelete