SAINT CYRIL PARISH WALK OF MEMORIES
ORDER FORM

___    Brick Paver 4-in. by 8-in. Engraved as shown below.  $100
              3 lines –13 characters to a line.  Spaces count as characters.

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___    Brick Paver 8-in. by 8-in.  Engraved as shown below.  $200
          6 lines –13 characters to a line.  Spaces count as characters.

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 ___   Brick Paver 12-in. by 12-in. Engraved as shown on other side. $300
          9 lines –19 characters to a line.  Spaces count as characters.
            Please print clearly on the other side of this page.

Name:_____________________________________________

Address: __________________________________________

          _____________________________________________

Phone: ___________________________________________

Mail to:
St. Cyril Church Walk
153 Penn Blvd.
East Lansdowne, PA 19050