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Prefix
First Name
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Last Name
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Email
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Primary Phone
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Address 1
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Address 2
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Class Year
Please enter the total amount you will be paying
Brick Campaign*
Please select the number of bricks/pavers you wish to purchase. One 4" x 8" brick is $250 One 8" x 8" paver is $500
One 4" x 8" Brick
Two 4" x 8" Bricks
Three 4" x 8" Bricks
One 8" x 8" Paver
Two 8" x 8" Pavers
Three 8" x 8" Pavers
Total Due
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Name(s) Engraved
*Brick #1 (2 lines max, 17 characters per line):
*Brick #2 (2 lines max, 17 characters per line):
*Brick #3 (2 lines max, 17 characters per line):
*Paver #1 (4 lines max, 17 characters per line):
*Paver #2 (4 lines max, 17 characters per line):
*Paver #3 (4 lines max, 17 characters per line):
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