Sierra's Haven Memorial Brickway Bricks are $25.00 (4" X 8"), three lines of 13 spaces are available for engraving. Symbols are $1.00 each. Dog bone takes 3 spaces, paw print and cat head take 2 spaces each. Please fill in blocks below exactly as you want it to appear, drawing in the symbols where they should be located. Mail your completed form to : Del Vastine 1312 Altamont Portsmouth Oh. 45662 YOUR NAME_____________________ PHONE NO._________________ Please include payment |
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Print this form, fill it out and mail it in. |
