MEMORIAL GARDEN BRICK ORDER FORM:

I would like to purchase a personalized brick @$50.00. Please make check payable to St. Michael’s Church & note Memorial Garden in the lower left corner. I understand the brick will be installed in the Memorial Garden walkway at St. Michael’s. The personalized brick will contain 3 lines of text and each line contains 13 spaces (each letter, number, space or punctuation mark counts as a space).
 
Your personalization will read exactly as printed below:
 
Line 1 _ _ _ _ _ _ _ _ _ _ _ _ _
Line 2 _ _ _ _ _ _ _ _ _ _ _ _ _
Line 3 _ _ _ _ _ _ _ _ _ _ _ _ _
 
Example:
In Memory of           (12 characters 2 spaces)
John Smith                (9 characters 4 spaces)       
1919 - 2015              (9 characters 4 spaces)
                                                        
 
Purchaser’s Name: ________________________________________
 
Address:________________________________________________
 
City:_____________________State:____________Zip:___________       
 
Home Phone:____________________________________________
 
If you would like an acknowledgement sent
 
Name: __________________________________________________
 
Address:________________________________________________
 
City:_____________________State:____________Zip:___________  
All proceeds from this project go directly to support the Memorial Garden. Thank you for your support.     
Submit order form & check to church office
Contact Susan Ason with questions 912-308-1681 or [email protected].