Brick Order Form

             BE A PART OF THE OLD SCHOOL RENOVATION PROJECT

For a small price, you can have your message engraved on a brick to be placed in the Memory Walk in front of the Old Woodbine School.  Now that the renovation of the building and the landscaping improvements have begun, the bricks will be used for walkways, plazas, and patios.

Prices:                                                                      Sample Instructions
One brick $35.00                                     JOHN DOE               or                           IN MEMORY
2-5 bricks $30.00/each                          CLASS OF 36                                              JANE DOE
6 or more $25.00/each                                                                                               CLASS OF 42

OLD SCHOOL RENOVATION COMMITTEE BRICK ORDER FORM
(Please use separate order form for each brick)

NAME_________________________________________________________

ADDRESS______________________________________________________

CITY_______________________________STATE_______ZIP_____________

HOME PHONE__________________WORK #___________________________

NO. OF BRICKS ORDERED_____AMOUNT ENCLOSED______________________ DATE OF ORDER___________________________________
Questions regarding your brick orders should be referred to Betty Gene Clark 912-576-5522 or JoAnn Flanagan 912-729-4264.

Please make checks payable to: Old School Renovation Committee

PO Box 372
Woodbine, Georgia 31569

Please engrave my brick with the following information. (Please print clearly with capital letters. No commas or periods. Maximum imprint
11 letters/digits/spaces per line. Three line limit.

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