CHRIST CHURCH

MEMORIAL BRICKS

REMEMBER A LOVED ONE, OR THAT SPECIAL PERSON IN YOU LIFE WITH THE PURCHASE OF A MEMORIAL BRICK.

THESE BRICKS WILL BE LOVINGLY DISPLAYED IN OUR MEMORIAL GARDEN

All bricks are 4" X 8"
3 lines per brick
20 characters per line, including spaces and punctuation (no comma's please)

COST PER BRICK: $150.00

Name: Phone:

Address: E-Mail:

City: Prov: Postal Code:

(PLEASE FILL OUT ONE FORM FOR EACH BRICK YOU WISH TO PURCHASE)

Print the Form and Mail it with payment (cheque or money order in Cdn Funds)

LINE 1

LINE 2

LINE 3

Please make cheque or money order payable to:

Christ Church Memorial Garden Fund
4750 Zimmerman Ave
Niagara Falls ON L2E 3M9