Garden of Honor

Engraved Brick Order Form

Print, Complete, and Mail With Payment to:

Mrs. Bonnie Rodgers

434 Westminster Road

Wenonah  NJ  08090

ALL Orders Must Be Received by March 18, 2005 to be in Inaugural Installation!

  Two sizes of brick are available: (Indicate selection; for multiple bricks use additional order forms)

         ___________4"x8" Brick with 3 message lines, 13 letters/spaces per line  $50.00 per brick

         ___________8"x8" Brick with 4 message lines, 13 letters/spaces per line  $75.00 per brick

       Please print or type your wording below:

   1st Line      ___    ___   ___   ___   ___   ___   ___    ___    ___   ___    ___   ____   ___  

   2nd Line     ___    ___   ___   ___   ___   ___   ___    ___    ___   ___    ___   ___   ___

  3rd Line     ___    ___   ___   ___   ___   ___   ___    ___    ___   ___    ___   ___   ___

 (8"x8" only)

   4th Line    ___    ___   ___   ___   ___   ___   ___    ___    ___   ___    ___   ___   ___

    Name of Person Purchasing Brick:____________________________________________________________________

    Address:  __________________________________________________________________________________                   

  Phone: (In case of questions/concerns regarding message) ________________________________________

Please mail to the address above making checks payable to:

Deptford Township Foundation for Educational Excellence

(Please direct any questions to Bonnie Rodgers Class of '77 at 856-468-1425 or BonnieRodgers1@aol.com

       Don't miss out on this great opportunity! Complete this form and mail today!

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