FRIENDS OF THE MONMOUTH COUNTY

CHILD ADVOCACY CENTER, INC.

One Place…One Team….One Coordinated Response

The Children of Monmouth County Deserve Nothing Less!

Because All Children Deserve a Safe Place

BUY A BRICK CAMPAIGN

Order Information

Name

Address

City

State

Zip

Phone

Brick Size 4 x 8 Inches   $250

(Make check payable to Friends of MCCAC)

1

2

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13

Line 1

Line 2

Line 3

EXAMPLE

1

2

3

4

5

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8

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13

Line 1

1

3

S

P

A

C

E

S

M

A

X

Line 2

C

H

A

R

A

C

T

E

R

S

O

N

Line 3

4

x

8

B

R

I

C

K

Please fill in the name or phrase you wish to have on your brick.  You have the option of

using 1, 2, or 3 lines on your brick.

Print exactly the way you wish your brick to read.  If you print in UPPERCASE or

lower case, text will be laser engraved in UPPER CASE or lower case.  You may also use

numbers for your inscription.  Spacing between words is considered as a character.

Punctuation does require a space.  All text will be automatically centered.

Payment Method:

Cash

Credit Card:

MC    AMEX

VISA

DISCOVER      CHECK

Address if Different Than Above:  _____________________________________________________

City:

State:

Zip:

Credit Card Number:_________________________________________________________________

Signature:  _________________________________________________________________________

Friends of the Monmouth County Child Advocacy Center, 75 West Main Street, Freehold, NJ  07728

Charitable Registration No.:  CH2577300

Tax ID No.:  562329493