Please fill out separate forms for each brick
If this is a gift, fill in recipient’s information and we will mail a
Certificate of Recognition:
15 characters per line including spaces and punctuation marks.
Ex.
J
O
H
N
K
.
‘
B
R
I
E
Additional lines available on 8” x 8” brick only
A logo is available for an additional $5.00 for the 4x8 brick and $10.00 for the 8x8 brick. Only one logo can be purchased and it will be the first line of text. The following is a list of available logos.
The large Knighthead logo is only available on 8"x8" bricks for $10 with a maximum of 4 lines of text.
Forms & payment (check to SHS/FOSH) may be sent to: Carolyn Marr 81 Ogden Rd, Stamford CT 06905
or submit form and continue to payment via Paypal