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Harrisville Society of Friends
Commemorative Bricks Order Form
Phase I

Please print out this form and mail it with your check or money order made payable to: Harrisville Society of Friends, P.O. Box 43, Harrisville, OH 43974.

Yes, We'd like to reserve a permanent brick to be installed in the new Harrisville Memorial Park. 
Name: 
Address: 
City/State/Zip 
Phone:  Email:  

Brick Pavers - 4"x 8"x 2 1/4". Used for Walkways. Each brick may contain up to 3 lines of copy. 18 characters per line. Cost $25.00 - Includes letter engraving only.

Color Choice 

 

 

 

for

Red 

Camel Flesk  

Sahara Sand  

Brick Pavers 

 

 

 

Ceramic Tiles - 6"x 6"x 1/2". Used for Walls, around gazebo, etc. Each tile may contain up to 3 lines of copy. 14 characters per line. Cost $30.00 - Includes letter engraving only.

Color Choice 

 

 

 

for 

Puritan Gray  

Butter Cream  

White 

Ceramic Tiles 

 

 

 

Logos - Must be "camera ready" format. $50 one-time set up fee, $12 logo engraving fee.

Please print your inscription in the spaces provided, being certain to leave blank spaces between words and designate comas. All names will be centered at the time of engraving.
                                   
                                   
                                   

Example:

 J

O

H

N
 

J

O

N

E

S
               

J 

A

N

N

E 

T
 

J 

O

N 

E 

S
           

J 

E

R 

R 

Y
 

J 

O

N 

E 

S 
             

Forms must be received by March 1, 2004. If you have any questions, please email or call Nancy J. Cullen at 740-546-9915, Pat Kochur at 740-546-3601, or Sara Householder at 740-546-4159.