Our next dedication is planned for August 1st 1 BRICK ORDER FORM First Nameno-icon Last Nameno-icon Street Addressno-icon City0 / State0 / Zip Code0 / Emaila valid emailemail Phone Numberno-icon Are you a current member?YesNo FILL OUT SEPARATE ENTRY BELOW FOR EACH BRICK PURCHASED - UP TO 3 LINES PER BRICK - UP TO 20 CHARACTERS PER LINE (includes spacing and punctuation) SEE ABOVE EXAMPLE. Please Note that if you only chose 1 or 2 lines, they will be centered on the brick. LINE 1 of FIRST BRICKUP TO 20 CHARACTERS PER LINE LINE 2 of FIRST BRICKUP TO 20 CHARACTERS PER LINE LINE 3 of FIRST BRICKUP TO 20 CHARACTERS PER LINE LINE 1 of SECOND BRICK (if buying 2 Bricks)UP TO 20 CHARACTERS PER LINE LINE 2 of SECOND BRICK (if buying 2 Bricks)UP TO 20 CHARACTERS PER LINE LINE 3 of SECOND BRICK (if buying 2 Bricks)UP TO 20 CHARACTERS PER LINE Engraved Bricks$100 EachSelect An OptionOne, $100Two, $200One bought on 32Auctions, $0Two bought on 32Auctions, $0 ItemQtyTotalBricks1[field9] Pay Online You should receive an email notification once your form submission is successful. Please email info@wgart.org if you did not receive that email after your order.more details0 / keyboard_arrow_leftPrevious Nextkeyboard_arrow_right News & Events Sign up for our newsletter and stay informed about what is happening now. Success! Email Sign Up Now [/db_pb_signup] FollowFollow
