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BRICK ORDER FORM

COMMEMORATIVE BRICK PROGRAM
( Inscribe it in stone)

Be a part of the Maritime Motorsports Hall of Fame Inc. Commemorative Brick Program. Purchase a brick to be placed on the Commemorative Wall in the Maritime Motorsports Hall of Fame Museum engraved with a special message. You may want to purchase a brick in honour or memory of a loved one, a brick for your family or even one for each of the children. You may prefer an inspirational message, your company name, or a brick to commemorate a special event or accomplishment.

Your contribution of $200.00 or $1000.00 for each brick will be used to help support the Maritime Motorsports Hall of Fame Inc. A receipt will be issued.

Make your cheque payable to: Maritime Motorsports Hall Of Fame Inc.
Mailing address: 5 Hooper Lane, Petitcodiac, NB,    E4Z 0B4

Please print and complete the following information and return with payment.

NAME: ………………………………………….. Phone numbers: …………………

Address: …………………………………………                             ………………….

               ………………………………………….

Postal Code: ……………………………………..

               Please print your message below, exactly as you would like it to
                     appear on brick.

                     On the 4”x8” Brick there are 3 lines with 13 characters per line
                     including spaces and punctuations.

                     On the 8”x16” Brick there are 5 lines with 22 characters per line
                     including spaces and punctuation.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you have any questions, please call 506-756-2110

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