Brick Fundraiser Form

The Quogue School
Playground Fundraiser
Brick Walkway



6"X6" Family Brick $150
The message on my brick should read:

Line 1 __ __ __ __ __ __ __ __

Line 2 __ __ __ __ __ __ __ __

Line 3 __ __ __ __ __ __ __ __


6"X9" Corporate brick $350
The message on my brick should read:

Line 1 __ __ __ __ __ __ __ __ __ __ __ __ __ __

Line 2 __ __ __ __ __ __ __ __ __ __ __ __ __ __

Line 3 __ __ __ __ __ __ __ __ __ __ __ __ __ __

(spaced and punctuation should be included on lines)


Please make checks payable to: Quogue School PTA/Playground

Return to : Quogue School PTA
PO Box 1491
Quogue, NY 11959