Our next dedication is planned for April 4th 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, $200 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] click here to see current and upcoming events at sobo PATRONS Celebrate Fine Art in Downtown Winter Garden ARTISTS See Our Latest Call To Artists For Any Upcoming Opportunities MEMBERS Stay Connected To Other Members In Our Art Association FollowFollow