EmailMe Form - Huntington Seacliff Elementary School Platinum Don

Choose Your Brick *

4" x 8" bricks can have up to 3 lines of text, 20 characters per line without clipart and 16 characters with clip art.

Click to display or hide clip art.

Add $25.00 for clip art.

Add a Mini Replica brick(s) to remember your donation $30.

Line 1:

Line 2:

Line 3:

Choose Your Clip Art

Name *

First Last

Address *

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

Phone *

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

Email *