SIGNAL MOUNTAIN MIDDLE/HIGH SCHOOL

COMMEMORATIVE BRICK ORDER FORM

 

All proceeds will go to the Founders' Fund to support SMMHS.

All donations are tax-deductible.

 

Donors may purchase bricks or paving stones and have them inscribed with their names, the names of their families or family members, the names of students at SMMHS, the names of faculty members at Nolan ES, Thrasher ES, SMMS, or SMMHS, and/or the names of local community leaders who supported SMMHS.  These inscriptions may include statements of recognition or appreciation, including "Donated by", "Given to", "In honor of", "In memory of", "In appreciation of", or "In recognition of".  SMMHS cannot accept any other personalized inscriptions.  HCDE reserves the right to reject any brick or paving stone that falls outside its criteria.

 

These bricks and/or pavers are requested by:

 

Last Name:

First Name:

Street Address:

City:

Home Phone:

(xxx-xxx-xxxx) State:

Email:

   

Order Amount:

   

 

 

Please make checks payable to Founders' Fund.

Mail check to:

Founders' Fund

P.O. Box 281

Signal Mountain, TN  37377

 

4" by 8" bricks are $75 each.  The name can be up to 3 lines with 14 characters per line.

 

Fill in the boxes below with up to 14 characters per line.  All text will be centered on brick.

 

Brick #1

 

Brick #2 

 

Brick #3

 

Brick #4 

 

12" x 12" pavers are $350 each.  Your name or message can be up to 3 lines with 22 characters per line.

Your company logo can be included for no additional donation.

 

Fill in the boxes below with up to 22 characters per line.

 

Paver

 

Do you want to add a logo?   Yes          No          Note: size of logo may affect space available for text