Gibbs High School Corryton, TN 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.
* Required
Email address
*
Your email
Untitled Title
Untitled Title
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
One Brick (4" x 8" x 2 1/4") - $125
Two Bricks - $250
Three Bricks - $375
8" x 8" Brick Tile - $250 (Stock Logos are available for an additional $50. Custom Logos are available for an additional $75)
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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