Brick Ordering Form
Florissant Old Town Partners has a memory brick path along the sidewalk of our office, The Girardier House at 601 rue St. Charles Street which memorializes many loved ones, events, businesses and other memories.

Orders are placed the first week of January, May and September. Once your order is received by our office, and depending on the next order month, it will take approximately 6 weeks from time we place the order, all the way to the placement in the memorial brick sidewalk. You will be notified when the brick is installed.

Bricks can be purchased for $50 each. If ordering online, there is an additional $2.00 payment processing fee.

Brick Lettering Choice *
Please type out per line how you would like the brick to read. Please remember spaces count as letters on each line. *
Your answer
Email Address: *
Your answer
Name: *
Your answer
Address: *
Your answer
City: *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service