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Office Use Only. Order Number: |
Purchased
By: _________________________________ Phone:
_____________________ E-mail: _____________________________________
Address:
_________________________________________
City: _________________________
State & Zip: ____________
Settler
Area Only – What year was this family in
Valley View? _______________________
BRICK INFORMATION
Information
in each column. Standards are in bold.
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Brick Blend |
Brick Name |
Brick Size |
Font Style & Font Size |
AlignmentHorizontal |
Vertical |
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612672 |
English Edge Red |
4 x 8 |
VERMARCO 5/8” |
Center |
Center |
Instructions: There
can be up to four lines on a brick.
There is a maximum of 15 spaces allowed per line. Each letter, number, space, comma, etc. is
counted as a space.
Complete the form starting with the box on the lefthand
side and enter what you wish to be inscribed. We will have the submittal centered on
each line.
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Each inscribed brick is $50.00
Make checks payable to:
Keep Valley View Beautiful
Mail to: Norman Newton, 307