Order Form

Knights of Columbus
Unborn Memorial Walkway
Engraved Brick Order Form
The Knights of Columbus are installing a prayer garden and brick walkway outside Padua Hall. They
are raising funds for the project through the sale of personalized engraved bricks that form the walkway.
Purchase Price: $40 per engraved brick + $10 per symbol (effective 11/1/12)
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START ALL TEXT LEFT TO RIGHT (TEXT WILL AUTOMATICALLY BE CENTERED)
PUNCTUATION COUNTS AS ONE SPACE (PERIOD, COMMA, DASH)
SYMBOLS REQUIRE AT LEAST TWO SPACES VERTICALLY AND HORIZONTALLY
SYMBOLS WILL BE POSITIONED IN THE MOSTAVAILABLE LOCATION
Your Brick Text
Symbol (if any) ______________________ (Additional $10)
Example
I
N
D
E
C
T
H
E
M
E
M
O
R
E
A
S
E
D
S
M
I
T
Y
M
H
O
F
E
M
B
E
R
S
F
A M
I
L
Y
O
F
Available Symbols
Please make checks payable to: CALVERT COUNCIL 7870. Return this form to:
Knights of Columbus, Calvert Council, P.O. Box 28, North Beach, MD 20714
For additional information, contact Paul Morrell at (410) 286-8522 / [email protected]
Your Name: ________________________________________ Phone: (_______) _____________________
Address: _______________________________________________________________________________
City: ____________________________________ State: __________________ Zip: __________________
Email Address: ___________________________________________ Amount Paid: ___________________