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LHS Foundation Walkway Order Form - Lockport City School District

LHS Foundation Walkway Order Form - Lockport City School District

Order

Order Form:nameaddresscity____________________ state____ zipphoneemailPlease provide an email address and/or phone numberthat will help us contact you with any questions.Message SelectionBrick placement will be random.Brick engravings will be screened forsuitability. Characters include letters,number, spaces or symbols. $175 - 5 3/4 x 5 3/4(Will hold 11 characters across and 5 lines, including spaces) $125 - 5 1/2 x 5 1/2(Will hold 8 characters across and 4 lines, including spaces) $75 - Smaller Tapered Brick(Will hold 6 characters across and 3 lines, PLUS the narrowend of the brick which can be used to hold 4 digits, e.g., 2013)1_____________________________________2_____________________________________3_____________________________________4_____________________________________5_____________________________________Please complete and return thisform with payment to:Lockport High School Foundation250 Lincoln AvenueLockport, NY 14094Thank you for your support!For more information on the Foundation Walkway,please send an email to: fmovalli@lockport.wnyric.org

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