Brick Order Form
Ridgeview Alumni Association Serenity Garden Brick Order Form
Name_____________________________________ Phone (_______)__________________
Message to be engraved on brick: (3 lines/14 characters per line including spaces) Cost: $30.00
(Line 1) ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
(Line 2) ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
(Line 3) ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
Please fill out name and contact number, even if you wish to contribute anonymously, so that we may contact you in case there are questions about the inscription.
Thank You, The Ridgeview Alumni Association
Make checks payable to: “Ridgeview Alumni Special Projects”
Mail to: Ridgeview Alumni Steering Committee, 3995 South Cobb Dr., Smyrna GA 30080-6397