


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:
Name:
____________________________________________________
Address:
__________________________________________________
City:
________________________________State: ________________
Phone: home:
_____________________work:____________________
18 Characters per line (Spaces and Punctuation are Characters)
For 4 x 8 inch bricks
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Line 2 |
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Line 3 |
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12 Characters per line (Spaces and Punctuation are Characters)
For 4.8 inch bricks
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Line 2 |
Logo#_____________ |
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Line 3 |
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All characters are centered unless otherwise specified.