Purchaser’s Name: _______________________________________
Phone number: _________________________________________
Address: _______________________________________________
______________________________________________________
Please inscribe the brick on the three available lines as indicated below.
Please print clearly. A character is a letter, space or punctuation mark.

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Make your mark in the newly designed parking lot at the Main Library on State Street. Honor a special person or memorialize a loved one with a personalized brick.
All funds raised will go to the Library Endowment Fund. |