Raglan Community Arts Council · Brick by Brick - pay now by credit or debit card

Thank you - here's what you need to do

To confirm your brick, type in the name you want to be engraved on the brick in the boxes below. Then type in your email and other contact details in the other boxes.

Click the SUBMIT button at the bottom of the page, then make your donation of $300 to Raglan Community Arts Council on the next page with your credit or debit card.

When the money is received we'll email a receipt for the donation to you.

Amount

*

$

Enter in the boxes below, the name that will be engraved on the brick.

There can be up to 32 characters in 2 lines of 16 characters and spaces.
A character is is ONE letter, number, space or punctuation (32 max)

Brick

For example:

VERONICA MAJOR

or JOHN BUTLER

or VERONICA BUTLER

or JOHN & VERONICA BUTLER

or JOHN BUTLER & VERONICA MAJOR

or JOHN & VERONICA.

1st line: NAME ON BRICK

*

Each line can have up to a maximum of 16 characters. i.e. letter, number, space or punctuation (16 max)

2nd line: NAME ON BRICK

Each line can have up to a maximum of 16 characters. i.e. letter, number, space or punctuation (16 max)

Contact Information

Name

*

First Name

Last Name

Email

*

Verify Email

*

Phone

Your preferred phone number

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country