Bricks R Us | Donate

Donate

** Your symbol will be printed at the top center of your brick unless otherwise specified **

		* Your Name
		* Street Address
		* City
		* State/Province
		* ZIP Code/Postal Code
		* Phone Number
		* E-Mail Address
		* Brick Size
		Would you like to receive Souvenir Brick(s)? If you would like to order additional keepsake bricks please click here
		* Donation Amount	$
		Press the Continue button to enter the customized text that will be engraved on your bricks.