Download
1 / 1
10 likes | 103 Views
NORTON CHILDREN FOR CHANGE – BRICK ENGRAVING FORM Each 4x8” brick is $30.00. Please check method of payment: _____ On-line through the Norton Web Store. Payments can be made with credit/debit cards or electronic check (In-coming Kindergarten 2012-2013 students cannot pay on line).
E N D
NORTON CHILDREN FOR CHANGE – BRICK ENGRAVING FORM Each 4x8” brick is $30.00. Please check method of payment: _____ On-line through the Norton Web Store. Payments can be made with credit/debit cards or electronic check (In-coming Kindergarten 2012-2013 students cannot pay on line). _____ Checks payable to: Norton Elementary FIRST NAME LAST NAME PHONE NUMBER CHECK NUMBER CHECK AMOUNT . 0 0 Using only letters or numbers in the list below, please print your brick engraving information clearly – one character per box– making sure it is spelled correctly. Your brick can have 3 lines of wording and/or numbers which includes spaces. Use one form for up to three bricks. A B C D E F G H I J K L M N O P Q R S T U V W X Y Z a b c d e f g h i j k l m n o p q r s t u v w x y z 0 1 2 3 4 5 6 7 8 9 BRICK ONE BRICK TWO BRICK THREE
