Hard copy brick order form

BABYLON BOOSTER CLUB
THE BABYLON BOOSTER CLUB IS CONSTRUCING AN ALUMNI BRICK WALKWAY THAT WILL BE
INCORPORATED INTO THE NEW FIELD CONSTRUCTION AT THE HIGH SCHOOL. THE BRICKS
WILL BE ENGRAVED WITH A MESSAGE FROM PAST AND FUTURE GRADUATES OF BABYLON
HIGH SCHOOL, PAST AND PRESENT SCHOOL EMPLOYEES AND MAY ALSO BE PURCHASED
AS A MEMORIAL. OR ANYONE WISHING TO MAKE A DONATION TO THE BOOSTER CLUB.
ALL MONEY RAISED WILL BENEFIT BABYLON SCHOOL ATHLETICS.
4X8 = $100.00 8X8 = $175.00 PRICES INCLUDE 1 YR MEMBERSHIP TO BOOSTER CLUB
STOCK SYMBOL = $25.00 EX. FOOTBALL/SOCCER BALL ETC. SEE SYMBOL CHART
*CORPORATE DONORS WILL RECEIVE A 4X8 ENGRAVED BRICK WITH COMPANY NAME FOR
$250.00, AN 8X8 BRICK WITH COMPANY NAME FOR $500.00 DONATION
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Yes, we’d like to reserve a permanent brick. Please engrave our brick as follows:
ANY SYMBOL IS CONSIDERED ONE SPACE (PERIOD, COMMA, DASH)
ALL TEXT IS CENTERED UNLESS OTHERWISE NOTED
4 x 8 Brick
8 x 8 Brick
EXAMPLE
B
O
O
G
O
S
T
E
R
P
A
N
T
2
0
1
5
C
L
U B
H
E
R
S
PLEASE RETURN THIS FORM AND YOUR CHECK PAYABLE TO:
BABYLON BOOSTER CLUB
PO BOX 153
BABYLON, NY 11702
Name: ________________________________________ Phone: (_______) _________________________
Address: _______________________________________________________________________________
City: ____________________________________ State: __________________ Zip: __________________
Email Address: ___________________________________________ Amount Paid: ___________________
FORMS MUST BE RECEIVED BY 12/31/2015. If you have any questions, please call 516-659-5572
YOU CAN ALSO ORDER ON-LINE at WWW.BABYLONBOOSTERS.ORG
ADD AN ACTIVITY SYMBOL FOR $25 EXTRA
ADDITIONAL SYMBOLS FOUND AT WEBSITE
WWW.BRICKSRUS.COM/SYMBOLS/SYMBOLS.ASP
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