Engraved Brick Order Form
Print this page, fill out and mail, along with your check, to the Kansas Firefighters Museum, 1300 S. Broadway, Wichita KS 67211. Bricks are $30 each. Use only one character (letter, number, punctuation, mark or space) per square.
I want our personalized engraved brick to say the following.
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Brick 1 Group Affiliation_______________________
oooooooooooo |
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Brick 2 Group Affiliation_________________________
oooooooooooo
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Note: The Firefighters Maltese Cross is available for an additional $1 per brick. The emblem will use one space. Other emblems will be available for an additional cost. Group orders must be mailed together.
Customer__________________________________________________Phone_________________________
Address__________________________________________________________________________
City State/Zip______________________________________________________________________
Thank you for your support!