Grotto 18×24 Bricks Form

Name(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

18 x 24 x 8 Brick Size

Price:

14 bricks

Quantity(Required)

Please enter a number from 1 to 5.

Please add what you would like to have on the brick below. You will get a maximum of 12 lines with the first line being required.

Brick size 18 x 24
Up to twelve (12) lines
28 Characters per line

Brick 1

Brick 1-Line 1 -- Please choose what you would like to put on the first line. If other please type no more than 28 characters(Required)

PRAY FOR

IN MEMORY OF

BLESSINGS FROM

Other

Brick 1 - Line 2 (max 28 characters)

Brick 1 - Line 3 (max 28 characters)

Brick 1 - Line 4 (max 28 characters)

Brick 1 - Line 5 (max 28 characters)

Brick 1 - Line 6 (max 28 characters)

Brick 1 - Line 7 (max 28 characters)

Brick 1 - Line 8 (max 28 characters)

Brick 1 - Line 9 (max 28 characters)

Brick 1 - Line 10 (max 28 characters)

Brick 1 - Line 11 (max 28 characters)

Brick 1 - Line 12 (max 28 characters)

Brick 2

Brick 2-Line 1 -- Please choose what you would like to put on the first line. If other please type no more than 28 characters(Required)

PRAY FOR

IN MEMORY OF

BLESSINGS FROM

Other

Brick 2 - Line 2 (max 28 characters)

Brick 2 - Line 3 (max 28 characters)

Brick 2 - Line 4 (max 28 characters)

Brick 2 - Line 5 (max 28 characters)

Brick 2 - Line 6 (max 28 characters)

Brick 2 - Line 7 (max 28 characters)

Brick 2 - Line 8 (max 28 characters)

Brick 2 - Line 9 (max 28 characters)

Brick 2 - Line 10 (max 28 characters)

Brick 2 - Line 11 (max 28 characters)

Brick 2 - Line 12 (max 28 characters)

Brick 3

Brick 3-Line 1 -- Please choose what you would like to put on the first line. If other please type no more than 28 characters(Required)

PRAY FOR

IN MEMORY OF

BLESSINGS FROM

Other

Brick 3 - Line 2 (max 28 characters)

Brick 3 - Line 3 (max 28 characters)

Brick 3 - Line 4 (max 28 characters)

Brick 3 - Line 5 (max 28 characters)

Brick 3 - Line 6 (max 28 characters)

Brick 3 - Line 7 (max 28 characters)

Brick 3 - Line 8 (max 28 characters)

Brick 3 - Line 9 (max 28 characters)

Brick 3 - Line 10 (max 28 characters)

Brick 3 - Line 11 (max 28 characters)

Brick 3 - Line 12 (max 28 characters)

Brick 4

Brick 4-Line 1 -- Please choose what you would like to put on the first line. If other please type no more than 28 characters(Required)

PRAY FOR

IN MEMORY OF

BLESSINGS FROM

Other

Brick 4 - Line 2 (max 28 characters)

Brick 4 - Line 3 (max 28 characters)

Brick 4 - Line 4 (max 28 characters)

Brick 4 - Line 5 (max 28 characters)

Brick 4 - Line 6 (max 28 characters)

Brick 4 - Line 7 (max 28 characters)

Brick 4 - Line 8 (max 28 characters)

Brick 4 - Line 9 (max 28 characters)

Brick 4 - Line 10 (max 28 characters)

Brick 4 - Line 11 (max 28 characters)

Brick 4 - Line 12 (max 28 characters)

Brick 5

Brick 5-Line 1 -- Please choose what you would like to put on the first line. If other please type no more than 28 characters(Required)

PRAY FOR

IN MEMORY OF

BLESSINGS FROM

Other

Brick 5 - Line 2 (max 28 characters)

Brick 5 - Line 3 (max 28 characters)

Brick 5 - Line 4 (max 28 characters)

Brick 5 - Line 5 (max 28 characters)

Brick 5 - Line 6 (max 28 characters)

Brick 5 - Line 7 (max 28 characters)

Brick 5 - Line 8 (max 28 characters)

Brick 5 - Line 9 (max 28 characters)

Brick 5 - Line 10 (max 28 characters)

Brick 5 - Line 11 (max 28 characters)

Brick 5 - Line 12 (max 28 characters)

How would you like to pay(Required)

Cash/Check (PREFERRED)

Credit Card

If paying by cash or check please come to the office at your earliest convenience to pay for your total amount. Please let the administrators know your first and last name for the brick(s) you are paying for so that we can ensure they are paid.

Please make check out to "St. Thomas Chaldean Catholic Church" and in the memo section please place Grotto Donation. Thank you

If you would like to help out the church and cover the 3.5% processing fees please check YES below

YES

CC Processing Fees

Price: $0.00

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

CAPTCHA

Donate Here

Parish Info

Parish Info

Donate Here

Grotto 18×24 Bricks Form

18x24 Bricks Form

Please add what you would like to have on the brick below. You will get a maximum of 12 lines with the first line being required.

Brick size 18 x 24
Up to twelve (12) lines
28 Characters per line

Brick 1

Brick 2

Brick 3

Brick 4

Brick 5

Donate Here

Parish Info

Parish Info

Donate Here

Grotto 18×24 Bricks Form

18x24 Bricks Form

Please add what you would like to have on the brick below. You will get a maximum of 12 lines with the first line being required.

Brick size 18 x 24 Up to twelve (12) lines 28 Characters per line

Brick 1

Brick 2

Brick 3

Brick 4

Brick 5

Brick size 18 x 24
Up to twelve (12) lines
28 Characters per line