Brick Order Old

A Memorial Brick costs $50. All project profits help to support Friends of Hyder Family Hospice House.
Please fill out and submit the form below.
After you submit the form, you will be redirected to the payment page.
Each brick may contain up to three lines. Up to 14 characters, including spaces and punctuation, are permitted on each line.
If the brick is in honor of someone, please indicate his or her name in the box above.
Each brick may contain up to 3 lines. Up to 14 characters on each line.