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CAP Buy A Brick Program
Please print this from your web browser
One order form per brick.
Complete the information below and return with your check made
payable to "CAP" to: (Please mark
your envelope with “buy a brick” in the bottom corner.)
Churchill Athletic Patrons
Churchill High School
8900 Newburg Rd
Livonia, MI 48150
If any questions, please
contact Kim Rize at 734-464-6621.
Please choose brick
size:
| _________ |
4" x 8" brick with up to 3 lines of
text - $55.00. If you would like a replica
mini-brick at no extra charge please check here______.
|
| _________ |
8" x 8" brick with up to 6 lines of
text - $100.00. If you would like a replica
mini-brick at no extra charge please check here______. |
____
Send Recognition Certificate ____ Do not send
Recognition Certificate
Please CLEARLY PRINT message, including upper/lower case letters, 20
characters per line. A character includes punctuation, spaces, etc.
Messages will be centered top to bottom and left to right as bricks
are produced.
Line 1 __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__
Line 2 __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__
Line 3 __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__
Line 4 __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__
Line 5 __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__
Line 6 __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__
***Please note: Bricks
are ordered once per year, after the school year is completed, and
will be installed in the fall of that year*** |