EmailMe Form - Chico ELKS Lodge #423 Brick Fundraiser

Choose Your Brick *

4” x 8” bricks 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” bricks 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.

Please add clip art.

Please include additional Mini Replica Bricks (Additional $25 ea).

Line 1:

Line 2:

Line 3:

Line 4:

Line 5:

Choose Your Clip Art

Upload Your Custom Logo

Maximum File Size 5MB. Black and White 300DPI Preferred.

Name *

First Last

Address *

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

Phone *

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

Email *