LINCOLN PARK P.A.L.

BUY A BRICK PROGRAM

Please help us support our plans for an outdoor snack stand to be located on Borough Field in Spring of 2009

 

 

 

 


                           

Lincoln Park Police Athletic League
Order Form

Commemorative, Name-Engraved Bricks

                       

Contact Information:  Person Placing Brick Order

 

Name: ______________________________                                    Telephone #

 

Address: ____________________________                            Day    ____________________________

 

               ____________________________                            Night  ____________________________

 

               ____________________________                            E-Mail ___________________________

 

Each brick can be engraved with up to 3 lines of text, with up to

20 characters (letters, numerals, punctuation, spaces) per line.

Brick # 1

Line 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Line 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Line 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Brick # 2

Line 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Line 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Line 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost per brick

$50.00  for one and $30.00 for each additional Brick 

       # of Bricks Ordered: ________                      =                      Total: $__________
 

                                                                                                                                    

Checks: Payable to:                                                                   Mailing Address:
Lincoln Park Police Athletic League                                                 Lincoln Park Police Athletic League

                                                                                                P.O. Box 391
                                                                                                Lincoln Park, NJ 07035-0391