Printed from TheChaiCenter.com

Pave the Path

Pave the Path

Paving the Path to The Chai Center
Brick Order Form

The Chai Center was founded on the idea of community. We invite you to become part of that tradition. With a single step... Enhance our building and help us expand our enriching programs.

Your personalized brick will pave the way to The Chai Center.

Tribute Ideas:
Anniversary ~ Birthday ~ Company ~ Get Well ~ Graduation
In Memory ~ In Honor ~ Thank You ~ Wedding

Pricing for bricks: 1 brick ........... $250 2 colored brick ............ $350


Inscription to be engraved as follows: Up to 13 characters per line, up to 3 lines per brick
Line 1
Line 2

Line 3


Purchased by:
Name
Last Name
Address
City, State, Zip
Phone Number


Method of Payment: Credit Card or
Please bill me at the above address

Credit Card Number
Expir. Date
Name on card
Total to be charged to card
Billing Address Billing Zip Security Code

* For multiple orders, please reuse this form.

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