White Oak Spring Missionary Baptist Church Example - The Smith Family

LEGACY BRICK Order Form Line 1

Line 2

Line 1
Line 2
Line 3
Be a permanent part of a lasting LEGACY at White Oak
by ordering a commemorative, personalized, brick for
Line 1
yourself, family member, past loved ones, special Line 2
friendships or recognize a business/organization . Each Line 3
Line 4
personalized LEGACY BRICK will be used to mark a Line 5
pathway/walkway adjacent to our new fellowship hall. Line 6

Let’s get ready to purchase a brick and leave your

LEGACY for generations to come !
Line 1
Line 2
COSTS Line 3
4x8 8x8 12x12 Line 4
3 lines of text 6 lines of text 8 lines of text Line 5
20 characters per line 20 characters per line 20 characters per line Line 6
$100 $250 $500 Line 7
Line 8

Complete your order Total Amount $________

Once we have received your order form and payment, a Please make all checks payable to __ Yes ! I would like to
keep sake certificate representing each of your White Oak Spring Missionary Baptist receive a keepsake
certificate.
personalized brick inscriptions will be sent to you upon Church
request acknowledging your order. This can be framed
or presented to someone as a special gift. Please mark
Return this form and your payment to:
the appropriate box on your brick order form.
P.O. Box 511 Winder, Georgia 30680
Staff Use Only: Date rec’d__________
No goods or services were provided in exchange for this contribution. WOSMBC
Check #____________
is an exempt organization as described in Section 501(c)(3) of the Internal Amount ___________
Revenue Code; EIN 030452842