GHSF Brick Order Form
This Form can Accommodate up to 3 brick orders

Brick Dimensions are as follows: 4" x 8" x 2 1/4" or 8"x 8" x 2 1/4"

** NO REQUEST CAN BE GRANTED FOR SPECIFIC LOCATION PLACEMENT OF BRICKS.

Email address *
Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Telephone Number *
Your answer
Please Make Your Selection Below
Brick Personalization
Each brick may contain up to 3 LINES WITH 13 CHARACTERS PER LINE.

Each punctuation and each space count as a character.

Each brick may contain up to 3 LINES WITH 13 CHARACTERS PER LINE. Each punctuation and each space count as a character.
Brick #1
Line 1 (13 Characters Only)
Your answer
Line 2 (13 Characters Only)
Your answer
Line 3 (13 Characters Only)
Your answer
Brick #2
Line 1 (13 Characters Only)
Your answer
Line 2 (13 Characters Only)
Your answer
Line 3 (13 Characters Only)
Your answer
Brick #3
Line 1 (13 Characters Only)
Your answer
Line 2 (13 Characters Only)
Your answer
Line 3 (13 Characters Only)
Your answer
Submit
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