!
Refuge Ministries, Inc.
Brick Fundraiser // 8 x 8 Featured Gray Brick Order Form
We are raising money for general expenses that will be used to tutor, provide one-on-one
mentorships, crisis intervention, meals, and after school programming to students in the
Liberty and Hubbard communities. Bricks available for purchase include 4x8 red brick ($50),
8x8 red brick ($75), and 8x8 featured gray brick ($100) which will be used in a mural in the
center of the walkway. 4x8 bricks include 3 lines of text, up to 21 characters per line. 8x8
bricks include 6 lines of text, up to 21 characters per line (18 Characters Recommended).
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Yes, we’d like to reserve a brick. Please engrave our brick as follows:
ANY SYMBOL IS CONSIDERED ONE SPACE (PERIOD, COMMA, DASH)
ALL TEXT IS CENTERED UNLESS OTHERWISE NOTED
8 x 8 Brick
EXAMPLE
G
O
N
E
S
T
A
T
2
0
0
N
I
B
A
W
T
O
N
H
I
G
H
E
C
H
A
2
,
2
0
C
O
L
E
,
R
B
A
R
A
L
M
P
I
O
N
S
0
3
,
2
0
0
B
R
E
N D
A
I
O
N
S
4
A N
D
PLEASE RETURN THIS FORM AND YOUR CHECK PAYABLE TO:
Refuge
1155 Churchill Hubbard Rd.
Youngstown, Oh 44505
Name: ________________________________________ Phone: (_______) _________________________
Address: _______________________________________________________________________________
City: ____________________________________ State: __________________ Zip: __________________
Email Address: ___________________________________________ Amount Paid: ___________________
If you have any questions, please call Andy Denen or Shelby Norris at (330) 219-3170.
YOU CAN ALSO ORDER ON OUR ON-LINE ORDERING WEBSITE:
WWW.BRICKSRUS.COM/ORDER/REFUGE