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Ring of Honor Commemorative Brick

Ring of Honor

YES! I would like to purchase a brick. Each brick donation is $125.

Please complete the form below. Required fields marked with an asterisk *

Contact Information

First Name*

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Middle Name

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Last Name*

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Email *

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Mobile Phone*

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Street Address

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City

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Zip/Postal

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Quantity

Brick

4" x 8" Brick

Price: $125.00

Brick I - Line 1

Please complete information. 20 Characters per row - including spaces and punctuation. (Maximum of 3 rows per brick.)

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Brick I - Line 2

20 Characters per row - including spaces and punctuation.

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Brick I - Line 3

20 Characters per row - including spaces and punctuation.

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____________________________________________________________________________________________________________________________

Brick II - Line 1

Please complete information. 20 Characters per row - including spaces and punctuation. (Maximum of 3 rows per brick.)

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Brick II - Line 2

20 Characters per row - including spaces and punctuation.

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Brick II - Line 3

20 Characters per row - including spaces and punctuation.

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____________________________________________________________________________________________________________________________

Brick III - Line 1

Please complete information. 20 Characters per row - including spaces and punctuation. (Maximum of 3 rows per brick.)

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Brick III - Line 2

20 Characters per row - including spaces and punctuation.

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Brick III - Line 3

20 Characters per row - including spaces and punctuation.

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Confirmation Email

Confirmation Email *

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