8x8 BRICKS ORDER FORM

Our Lady of Guadalupe
8x8 Brick Order Form

Please complete the required fields indicated by the *, then enter your inscription and click on the submit button at the bottom of the form. PLEASE ENTER THE TEXT EXACTLY AS YOU WANT IT TO APPEAR ON THE BRICK. This form is for all language.

* Indicates required field

Order Date *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone *

Email *

Payment *

check cash Credit Card Payment Plan with $50 deposit

Payment Instructions:
1. Check - please mail to the Parish Office, 41933 Blacow Road, Fremont CA 94538. Please indicate on the memo line "Brick Fundraising".
2. Cash - please drop it off at the Parish Office (parish hours Monday - Friday 9 am to Noon and 1 pm to 3 pm.
3. Credit Card - please call Parish office 510-657-4043 to pay it by phone.
4. Payment Plan, please call Parish office 510-249-1770 to arrange the payment plan.

Wall Brick 8x8 (max. 6 lines)
$250 each

Quantity *

Total Amount $ *

Centered the script? *

Line 1 Max. 21 letters including all spaces, symbol and punctuation *

Line 2 Max. 21 letters including all spaces, symbol and punctuation *

Line 3 Max. 21 letters including all spaces, symbol and punctuation *

Line 4 Max. 21 letters including all spaces, symbol and punctuation *

Line 5 Max. 21 letters including all spaces, symbol and punctuation *

Line 6 Max. 21 letters including all spaces, symbol and punctuation *

All submissions are final and changes will NOT be made, so please verify your inscription prior to submitting!
THANK YOU FOR YOUR SUPPORT!

Submit

Our Lady of Guadalupe
8x8 Brick Order Form

Wall Brick 8x8 (max. 6 lines)
$250 each

Location

Contact us

Mass Schedule

Click here for Mass Schedule

Click below for Fillable
Parish Registration Form

Our Lady of Guadalupe 8x8 Brick Order Form

Wall Brick 8x8 (max. 6 lines)​$250 each

Location

Contact us

Mass Schedule

Click here for Mass Schedule

Click below for Fillable Parish ​Registration Form

Our Lady of Guadalupe
8x8 Brick Order Form

Wall Brick 8x8 (max. 6 lines)
$250 each

Click below for Fillable
Parish Registration Form