Bricks 'R Us | Donate


	:: Donate

Thank you for your donation by filling out the below form and purchasing an engraved brick.

When you go to the next page, you will be asked to pay by check and then input your check number. Please note that we ARE NOT accepting payment via this web site so please just put any check number and continue with your order.

We will contact you shortly to discuss your payment options which may be paid over 5 years if you wish. Thank you for helping strengthen East Lincoln County through Sally's Y by making this financial contribution.

* Your Name
Your Company If you represent a company or organization, enter their name.
* Street Address
* City
* State/Province
* ZIP Code/Postal Code
* Phone Number
Fax Number
* E-Mail Address
* Brick Size
* Number of Bricks	(Amount of Same Size Bricks Ordering)
* Donation Amount	$
Press the Continue button to enter the customized text that will be engraved on your bricks.