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Friends of the El Garces,
Inc.
P.O. Box 942, Needles, CA 92363 (760) 326-5678 |
BRICK ORDER FORM
El Garces Harvey House Fountain Restoration
Inscription for your brick
PLEASE PRINT CLEARLY
Limit of 18 characters or numbers per line only, including spaces
and punctuation.
Symbols count as 3 spaces. Inscriptions will automatically be centered
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| COST - $75 per brick |
I WANT A DUPLICATE BRICK - Yes_____ No _____
(Cost for duplicate brick is $ 50) |
Complete this form and return it with your
donation in the form of check or money order |
in the amount of $_________ (per brick) |
and $________per duplicate brick. |
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Make Checks Payable to: |
Friends of El Garces Fountain Restoration |
P.O. Box 942, Needles, CA 92363 |
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