Red Hook Community Center · Brick Donation Form

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Buy a brick and pave the way for RHCC's new playground and community garden!

Brick Prices:

4"x8" brick - $100 each

Each brick can be personalized with up to 4 lines of text, 21 characters per line.

All bricks will be permanently placed along the Red Hook Community Center's playground and garden pathways, preserving your message for years to come.

Form our path and leave a mark that lasts!

For assistance in purchasing a brick, please contact Executive Director Sara Ugolini at director@redhookcommunitycenter.org or call (845) 758-0077.

Contact Information

Name (Required)

*

First Name

Last Name

Your Company (If you represent a company or organization, enter their name)

Address (Required)

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email (Required)

*

Verify Email

*

Phone

*

Purchase a Brick

First, Choose Your Brick Quantity *	Quantity
$100 - 4"x8" brick, 4 lines text, 21 characters per line

Additional Donation

$

Next, Create Your Brick Inscription

*

Enter up to 4 lines of text with a maximum of 21 characters per line. Any symbol or space is considered a character (period, comma, hyphen). Engravings will be made in all capital letters. All text will be centered unless otherwise noted. If you are just making a donation to this fundraiser, then please type N/A into the box.

Brick #2 Inscription

Enter up to 4 lines of text with a maximum of 21 characters per line. Any symbol or space is considered a character (period, comma, hyphen). Engravings will be made in all capital letters. All text will be centered unless otherwise noted.

Brick #3 Inscription

Enter up to 4 lines of text with a maximum of 21 characters per line. Any symbol or space is considered a character (period, comma, hyphen). Engravings will be made in all capital letters. All text will be centered unless otherwise noted.

Brick #4 Inscription

Enter up to 4 lines of text with a maximum of 21 characters per line. Any symbol or space is considered a character (period, comma, hyphen). Engravings will be made in all capital letters. All text will be centered unless otherwise noted.

Brick #5 Inscription

Enter up to 4 lines of text with a maximum of 21 characters per line. Any symbol or space is considered a character (period, comma, hyphen). Engravings will be made in all capital letters. All text will be centered unless otherwise noted.

Brick #6 Inscription

Enter up to 4 lines of text with a maximum of 21 characters per line. Any symbol or space is considered a character (period, comma, hyphen). Engravings will be made in all capital letters. All text will be centered unless otherwise noted.

Brick #7 Inscription

Enter up to 4 lines of text with a maximum of 21 characters per line. Any symbol or space is considered a character (period, comma, hyphen). Engravings will be made in all capital letters. All text will be centered unless otherwise noted.

Brick #8 Inscription

Enter up to 4 lines of text with a maximum of 21 characters per line. Any symbol or space is considered a character (period, comma, hyphen). Engravings will be made in all capital letters. All text will be centered unless otherwise noted.

Brick #9 Inscription

Enter up to 4 lines of text with a maximum of 21 characters per line. Any symbol or space is considered a character (period, comma, hyphen). Engravings will be made in all capital letters. All text will be centered unless otherwise noted.

Brick #10 Inscription

Enter up to 4 lines of text with a maximum of 21 characters per line. Any symbol or space is considered a character (period, comma, hyphen). Engravings will be made in all capital letters. All text will be centered unless otherwise noted.

You're Almost Done! Click on the SUBMIT FORM button below to continue to RHCC's PayPal site and enter your credit card information. THANK YOU!

Add 3% to my total amount to help cover the payment processing fees