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Ontario Athletic Booster Club
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BRICK ORDER INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
*
State:
*
Zip Code:
*
Phone:
*
Email:
Are you an Ontario Alum? If so, please provide graduation year.:
*
Choose your Brick:
8''x 4'' Brick – text only – $100.00
12''x 12'' Brick – text and artwork – $300.00
12''x 12'' Brick – text only – $250.00
8''x 4'' BRICK INSCRIPTION – 3 LINES – Inscription with be in all caps
First Line (15 characters, includes spaces and punctuation):
Second Line (15 characters, includes spaces and punctuation):
Third Line (15 characters, includes spaces and punctuation):
12''x 12'' BRICK INSCRIPTION – 3 LINES WITH ART – Inscription will be in all caps
Choose Art on the Brick (see art samples above):
Arrowhead
Block O
Warrior
Company Logo (email logo in a jpeg or pdf format to ontarioboosterclub@gmail.com)
First Line (22 characters, includes spaces and punctuation):
Second Line (22 characters, includes spaces and punctuation):
Third Line (22 characters, includes spaces and punctuation):
12''x 12'' BRICK INSCRIPTION – 6 LINES – Inscription will be in all caps
First Line (22 characters, includes spaces and punctuation):
Second Line (22 characters, includes spaces and punctuation):
Third Line (22 characters, includes spaces and punctuation):
Fourth Line (22 characters, includes spaces and punctuation):
Fifth Line (22 characters, includes spaces and punctuation):
Sixth Line (22 characters, includes spaces and punctuation):
* indicates required fields
SELECT FEE
$100.00 - 8''x 4'' Brick – with text only
$300.00 - 12''x 12'' Brick – with text and artwork
$250.00 - 12''x 12'' Brick – with text only