Brick Order Form
Name____________________________
Phone Number____________________
There is a 15 character limit per line and a 3 line limit per brick. Please print this page, fill out below and send a check for $100.00 to MBC 5971 E Mason Lake Dr. W Grapeview, WA 98546. If you want to pay in cash, use the same process but instead of mailing you can drop it off to a board member or officer . Please use a separate form for each brick ordered.
Line 1 ¨¨¨¨¨¨¨¨¨¨¨¨¨¨¨ Line 2 ¨¨¨¨¨¨¨¨¨¨¨¨¨¨¨ Line 3 ¨¨¨¨¨¨¨¨¨¨¨¨¨¨¨ Want to use PayPal instead? Start here... Edge Browser will not show PayPal buttons. Best viewed with IE, Chrome or FireFox browsers.
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