“Paving the Way”
Engraved Brick Order Form

Put your name in stone and be a permanent part of the Point Washington Medical Clinic!
This is an opportunity to contribute while leaving a legacy for your family, friends, and the community.

Personalize an engraved brick to be
permanently installed on the clinic grounds!

HOW TO ORDER

Order online (below) or Click here to download an order form.

4” X 8” Brick - $250

Add Mini Replica Brick(s) – $30 each.

Please engrave our personalized brick as follows:

4” x 8” bricks can be personalized with up to 3 lines of text, 16 characters per line.
ANY SYMBOL IS CONSIDERED ONE SPACE (PERIOD, COMMA, DASH). ALL TEXT IS CENTERED.

ALL TEXT IS CENTERED BOTH HORIZONTALLY & VERTICALLY ON THE BRICK
IF YOU ENTER ONLY 1 or 2 LINES OF TEXT IT WILL BE CENTERED ON THE BRICK