Tiger Walk of Pride Brick order form

Purchaser's Name:

Street Address:

City:

State:

Zip:

Select one only: 

This is a Surprise Gift. (DO NOT SEND Acknowledgement letter)

Send acknowledgement letter

Send Acknowledgment to:

Name:

Street Address:

City:

State:

Zip:

Print information exactly as you would like it to appear, noting that there is a maximum of 14 characters per line (including spaces). It could be the name of your company, a special message, or something even more creative.

    4" x 8" Standard Size, Imprinted: $100.00 

8" x 12" Executive Size, Imprinted: $250.00

Line 1:
                           
Line 2:
                           
Line 3:
                           

Maximum of 14 characters per line (including spaces)

 

If you wish to order more than one brick or would like your bricks placed next to a

friend's brick or with a group of friends' bricks, your orders must be placed together.

 

Check or Money Order: Checks are payable to "Massillon Tiger Football Booster Club"

 

MasterCard Visa

*Name appearing on CC:

  

*Credit Card Number:

  

*Signature:

  

*Expiration Date:

 / MM / YYYY

 
All Contributions are tax deductible to the extent allowed by law.

ATTENTION: This form is meant to be printed and US mailed to:

Massillon Tiger Football Booster Club

Tiger Walk of Pride Project:

Po Box 19

Massillon, OH 44648
You can FAX your order form, complete with credit card information to: 330-830-2359

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