BUY-A-BRICK APPLICATION

PERSONALIZED BRICKS ARE AVAILABLE FOR $50 PER BRICK.  BRICKS (5 ½ X 8 ¼ IN.) WILL BE USED TO EXTEND THE PATH AT THE GAZEBO IN CRANE PARK IN WEST CALDWELL.

 TO ORDER YOUR BRICK, COMPLETE THE FORM
BELOW AND MAIL WITH YOUR CHECK,
PAYABLE TO “THE TOWNSHIP OF WEST CALDWELL” TO:

WEST CALDWELL-CALDWELL RECREATION

5 FAIRFIELD AVENUE
WEST CALDWELL, NJ 07006

 FOR EACH ENGRAVED BRICK ORDERED, THERE IS A MAXIMUM OF 3 LINES.
FOR EACH LINE, THERE IS A MAXIMUM OF 13 LETTERS (INC. SPACES)
FOR EACH SQUARE THERE IS A LIMIT OF 1 LETTER, SPACE OR CHARACTER.

 NAME: ____________________________________________________________

 ADDRESS:_______________________CITY:__________STATE:____ZIP:_______

 PHONE: ______________________________# OF BRICKS________$__________ 

YOUR SIGNATURE INDICATES THAT YOU HAVE REVIEWED THE TEXT
AND FORMAT TO BE INSCRIBED ON THE BRICK YOU ARE REQUESTING. 

SIGNATURE:____________________________________________DATE:_________

FOR FURTHER QUESTIONS CALL 973-226-3621