LARGE BRICK ORDER FORM

POSTON FUNDRAISING BRICK ORDER FORM

LARGE 8" X 8" brick for $1,000 donation
6 lines, 14 spaces/line
Use spacing between names and words or WE WILL correct it for you.

  













 














 













 





























 















Sponsor's Name:______________________

Address:_________________________

City:____________________State: _____Zip:_________

Email:_______________________Phone:____________
Make check payable to: POSTON COMMUNITY ALLIANCE
Mail to: Poston Brick Campaign
630 E. Quincy
Fresno, CA  93720