Walk of Faith

 BRICK ORDER FORM

 

  1. Print this form
  2. Complete each square exactly how you want your brick(s) to look
  3. You may order up to 3 bricks per form.
  4. Enclose $50.00 (check or money order) for each brick and mail to:

 

Clingan Ridge Baptist Church

2412 Georgetown Road NW

Cleveland, TN 37311

 

For more information call 423.472.3511

 

 

BRICK 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BRICK 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BRICK 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

TOTAL AMOUNT PAID

STREET ADDRESS

 

CITY

 

STATE

ZIP

MAKE CHECKS PAYABLE TO

 

Clingan Ridge Baptist Church

PHONE

 
       

 

 

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