EmailMe Form - Shirdi Sai Society Brick Fundraiser

Choose Your Brick *

4” x 8” tile can be personalized with up to 3 lines of text , 20 characters per line without clip art or 16 characters with clip art.

8” x 8” tile can be personalized with up to 5 lines of text , 20 characters per line with or without clip art.

Click to display or hide clip art.

Add Clip Art for only $25 more!

Mini Replica Pavers to take home are $25 ea. additional.

Line 1:

Line 2:

Line 3:

Line 4:

Line 5:

Choose Your Clip Art

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Phone *

### - ### - ####

Email *