Purchase your brick!

MBC 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.

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If you have questions contact us at: Contact us .

Want to use PayPal to purchase your brick? See Below