Memorial Bricks

Buy a Brick, Build a Legacy

Queen City Lodge No. 761 is planning to build a brick walkway at the new lodge site. You may order one or more beautiful laser engraved bricks that will be enjoyed at the lodge for many, many years.

Purchase your own Part of history! Buy a brick to be placed in the walkway at the new lodge building.

Please remit this form along with payment of $50.00 per brick.

Name _________________________________________

Address _______________________________________

 Telephone _____________________________________

 Each brick has space for 3 lines. Each line has 14 spaces. Enter only 1 character in each box. A letter, number, comma, period, hyphen, space, apostrophe or punctuation all count as 1 character.

PLEASE INDICATE LETTERING IN SPACES BELOW.

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