San Mateo Firefighters’ Memorial Fund

P.O. Box 6727, San Mateo, CA 94403
Contact Cal Eitel at 650-522-7900

 

 

 

Please fill out the order form completely.  Enclose your payment and mail this form to the above address.

$200.00 per brick

 

Check payable to:  San Mateo Firefighters’ Memorial Fund

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Name: ____________________________________________________

Address: __________________________________________________

City: ________________________________State: ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­________________

Phone: home: _____________________work:____________________

 

18 Characters per line (Spaces and Punctuation are Characters)

For 4 x 8 inch bricks

 

Line 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Line 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Line 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12 Characters per line (Spaces and Punctuation are Characters)

For 4.8 inch bricks

 

Line 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Line 2

 

 

Logo#_____________

 

 

 

 

 

 

 

 

 

 

 

 

Line 3

 

 

 

 

 

 

 

 

 

 

 

 

 

All characters are centered unless otherwise specified.