Our Lady of Mercy
1 Elmwood Dr
Daly City, CA 94015

Contact Person: Joel Martinelli
(650) 755-7651

Alphanumeric Brick Order Form

Date

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Your Name

______________________________________

Address

______________________________________

City

______________________________________

Telephone

______________________________________

Job Name

Our Lady of Mercy Brick Project

 

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Please print the word or name (beginning at the first square) exactly as you want it to appear on the brick. (uppercase, lowercase, spacing, etc).

Each line will be centered automatically.

There is room for a maximum of three lines with eighteen (18) characters per line on each brick, including spaces between words and names.

The cost per brick is $100.00. Make check payable to Our Lady of Mercy.

Return Order Form and check to:

Our Lady of Mercy Brick Project
1 Elmwood Drive
Daly City, CA 94015

 

Call Joel Martinelli at (650) 755-7651 with any questions.