Nirupam Singh on Fan Development, Growth, and the Future of Formula 1
Engraved brick fundraiser order form
1. Brick Size
(select one)
$40.00 - 4” x 8”
$65.00 - 8” x 8”
$100.00 - 8” x 12”
Font Choice
(select one) Example
Comic Sans In Loving Memory
Arial Bold In Loving Memory
Script MT Bold In Loving Memory
Times New In Loving Memory
Engraved Brick Fundraiser Order Form
This form has two pages. Please fill out all areas to ensure your order is placed correctly.
One order form per brick please to avoid any confusion.
Page 1: Your ordering details Page 2: Brick details and lettering layout
Follow instructions on page 2 for letter limits to the size specification that you are ordering.
Step # 1 Step # 2
Additional Options
$5.00 Border- Straight single line that frames edge of brick.
$5.00 Clipart- This will consume character spacing on brick min 4 wide by 2 rows high. Please CIRCLE selected
clipart and limit one per brick.
$25.00 Custom Design- Design must be provided in jpeg black and white form. Details and size may be limited
due to machine limitations. Please email or attach clear print out in no smaller then requested size. Only available
on 8” x 12” brick.
www.facebook.com/MHSbrickfundraiser place online orders using paypal and order form.
Mail: Manton High School , Atten: Cheerleading, 105 Fifth Street, Manton, MI 49663
Email questions: rangercheer@gmail.com
2. Brick Order being made by: (Please Print Clearly)
Name: _____________________________________________________________________________________
Address: ___________________________________________________________________________________
City: _____________________________________ State: ____________ Zip Code: _________________
Home Phone: ______________________________________ Cell Phone: _____________________________
Payment made with (please check one): _______ Check _______ Paypal _______ Cash
Sizes 4” x 8” ($40.00) allows a max of 3 lines, each line containing a max of 20 characters
8” x 8” ($65.00) allows a max of 6 lines, each line containing a max of 20 characters
8” x 12” ($100.00) allows a max of 6 lines, each line containing a max of 30 characters
Border ($5.00) no character space taken up by this additional option, single line style.
Clipart ($5.00) allow a min of 2 line high by 4 characters wide. Please shade in the boxes of desired clipart
placement.
Custom Design ($25.00) Only available with size 8” x 12”. Allow a min of 4 lines high by 8 characters wide. Please
shade in the boxes of desired placement. Design may be larger, simply shade in additional boxes keeping in mind
scale of design.
Step # 3
To be assured of your satisfaction with engraving, we ask you to fill out the grid below with the wording you wish to
have inscribed onto your brick.
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I approve the above to be accurate and ready for engraving. I agree to allow adjustments if needed for grammar,
spacing, or design. I acknowledge if my request is deemed offensive or disrespectful I will be contacted or provided
a refund.
Bricks will be thoughtfully cared for and maintained. If brick movement is needed in the future due to school
improvements and/or school board decision you will be contacted on brick pick up options. The school will no
longer be responsible for the brick after a 3 month storage time from attempted contact.
Signature: ____________________________________________________________ Date: ____________________