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.
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
City, State, Zip
Method of Payment:
Credit Card or
Please bill me at the above address
Credit Card Number
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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