ENGRAVED BRICKS

To honor a loved pet or person….or your business!

TO ORDER YOUR BRICK (S), PLEASE USE THIS ORDER FORM.  IF ORDERING MULTIPLE BRICKS, USE THE BACK OF THE FORM FOR ADDITIONAL BRICKS.  BE SURE TO MARK THE SIZE BRICK REQUESTED.

SMALL BRICK  4X8"                                LARGE BRICK  8X8"
2 LINES @ $25.                                        2 LINES @ $75.
3RD LINE $2.00 EXTRA                                3rd LINE $2.00 EXTRA
(14 CHARACTERS PER LINE)                        (14 CHARACTERS PER LINE)


Brick size
SMALL
LARGE

Line 1   __ __ __ __ __ __ __ __ __ __ __ __ __ __
Line 2 __ __ __ __ __ __ __ __ __ __ __ __ __ __
Line 3 __ __ __ __ __ __ __ __ __ __ __ __ __ __ (optional)


PAYMENT:  PayPal
(Circle one)        Check enclosed (make out to RockySpot Rescue)        



Mail completed form to:                RockySpot Rescue
c/o Sue Madison
                188 Mallard Row
                Goldsby,  OK 73093


Any questions ??  Please call 405-288-6635 or e-mail: Budbull2003@Yahoo.com.