Instructions for
placing orders:
Fill in the form below with the wording you want engraved on
the brick using one letter or character per block.
Example:

Letter size will be determined by # of lines
Up to 3 lines and 14 characters per line (including spaces)
– ¾”
Up to 4 lines and 16 characters per line (including spaces)
– 5/8”
There is a minimum number of brick orders required for
construct wall – Orders from this year and pervious years will be combined
until we have enough to construct the wall.
Mail completed from with $30.00 payment to:
Brigitte
Mangham
6100 Rosewood
Orange, Texas 77632
Make checks payable to:
LCM Project Safe Graduation
_____________________________________________________________________
Please
print when filling in order form:
ADDRESS: ______________________________
______________________________
PHONE: ______________________________
EMAIL: ______________________________
