brick order form.pub
Oswego High School Athletic Department Memorial Walk Brick Order Form 4” x 8” Engraved Brick
• • • •
8” x 8” Engraved Brick
16” x 16” Engraved Black Granite
All brick orders will be placed twice a year (fall/spring) Orders will be confirmed for accuracy Bricks will be placed in random loca1ons No special loca1on request
________________________________________ Your Name ________________________________________ Address ________________________________________ City State Zip
Please use the spaces below to enter the informa1on you would like to place on your brick. ♦
Please print in capital le/ers
♦
No message line may exceed 13 characters
♦
All messages subject to review by Oswego Athle1c Department
4” x 8” Brick
________________________________________ Phone Number
____________________________________________________ ____________________________________________________ ____________________________________________________
________________________________________ Email
8” x 8” Brick (Specific Sport or School logo available)
____ 4” x 8” Brick @ $150 ____ 8” x 8” Brick @ $300
____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ 16” x 16” Brick (Specific Sport or School logo available)
____ 16” x 16” Black Granite @ $500 Total Amount Enclosed $____________ Please make checks payable to: Oswego High School Mail order form to: Oswego High School A/n: Athle1c Dept. 4250 State Rte 71 Oswego, IL 60543
____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ If have ques1ons please email [email protected]
• • • •
8” x 8” Engraved Brick
16” x 16” Engraved Black Granite
All brick orders will be placed twice a year (fall/spring) Orders will be confirmed for accuracy Bricks will be placed in random loca1ons No special loca1on request
________________________________________ Your Name ________________________________________ Address ________________________________________ City State Zip
Please use the spaces below to enter the informa1on you would like to place on your brick. ♦
Please print in capital le/ers
♦
No message line may exceed 13 characters
♦
All messages subject to review by Oswego Athle1c Department
4” x 8” Brick
________________________________________ Phone Number
____________________________________________________ ____________________________________________________ ____________________________________________________
________________________________________ Email
8” x 8” Brick (Specific Sport or School logo available)
____ 4” x 8” Brick @ $150 ____ 8” x 8” Brick @ $300
____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ 16” x 16” Brick (Specific Sport or School logo available)
____ 16” x 16” Black Granite @ $500 Total Amount Enclosed $____________ Please make checks payable to: Oswego High School Mail order form to: Oswego High School A/n: Athle1c Dept. 4250 State Rte 71 Oswego, IL 60543
____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ If have ques1ons please email [email protected]
