SMA-VWIL BRICK PAVER PROGRAM
ORDER FORM
Brick Size: 4" X 8" / / / / / Price: $50.00 per brick
Inscriptions may be up to three lines of up to 20 characters per line.
Punctuation marks count as a
character.
Use multiple copies of form if order is for more than two bricks.
As part of the SMA Legacy Projects, a paved brick walkway has been added in front of the SMA Memorial Wall. The sale of individually inscribed bricks is a way to honor or recognize SMA alumni, former faculty members, teachers, coaches, staff, graduating classes and/or SMA supporters. The existing blank bricks will be replaced with each 100 orders of inscribed bricks.
Help Pave the Way --- get the first 100 bricks in-place, order today !!!
| Name: | |
| Address: | |
| City, State, ZIP: | |
| Phone: | |
| Email: | |
| SMA / VWIL Yr: | |
| BRICK 1: | |
| Line 1: | |
| Line 2: | |
| Line 3: | |
| BRICK 2: | |
| Line 1: | |
| Line 2: | |
| Line 3: |
PRINT AND MAIL ORDER
FORM, ALONG WITH CHECK, TO:
SMA FOUNDATION, INC.
ATTN: SMA BRICK PAVERS
P.O. BOX 958
STAUNTON, VA 24402-0958