Attention Friends of Three Gaits:
Create a lasting memory at Three Gaits by ordering a personalized
engraved brick for you, a special horse or pet, or in honor of a
loved one! Our Brick Patio is located between the office and indoor
arena. Choose from three sizes: 4"x8"
-or- 8"x8" -or- 12"x12"
Printable
Brick Order Form
Your Name: __________________________________________
Address: ____________________________________________
City/Zip: _____________________________________________
Phone: _____________________________________________
If you are ordering the brick as a gift
for someone,
list their name and address so we may notify them:
_______________________________________
_______________________________________
_______________________________________
Note: Each line is limited to 12 characters. Spaces,
commas, dashes or periods count as one character. Order either
2, 4 or 8 lines per brick.
Message as follows:
|
|
= 2 Lines (4 x 8) $50.00 |
|
|
=
4 Lines (8 x 8) $75.00 |
|
|
= 8 lines (12x12) $125.00 |
Print this page (or form), and return it with your
check to:
Three Gaits Inc
P.O. Box 153
Oregon, WI 53575
Three Gaits is a 501(c)-3, non-profit and
tax-exempt organization.
A portion of your purchase may be tax deductible.
Consult with your tax advisor.
(For office use: date received_____________
check#__________)
|