FIREHOUSE PARK WALKWAY

Order Form: (Order # ______)

JFFC use only:

The Janesville Firefighters Charities is now taking orders for

Our brick paver walkway. Your contribution is tax deductible.

EIN # 22-1177496/WI LIC #8910

Buyer Information:
Buyer Name:  
Street Address:

 

  
City, State & Zip Code:  
Telephone Number:  
e-Mail Address:  

 

Make checks Payable to: Janesville Firefighters Charities

Number of Bricks: ___ Total Amount: $________

Mail Order Form to: Janesville Firefighters Charities

35 S. Randall Ave.

Janesville, WI 53545

Sample Bricks

$100.00 $500.00
 

Samples

LT. Joe Smith

Engine 82

Janesville

The Johnson

Family

Judy & Mark
       

Sarah & John

Sally & James

2006

(All Spaces and Punctuation Marks are counted as characters.)

All text lines are CENTERED on the brick.

 

Please Contact Kevin Murray for questions. Kmurray911@charter.net

1-608-290-7270

 

Brick #1:

Check one: o4"x8" 3 lines o8"x8" 6 lines

Char.

1

2

3

4

5

6

7

8

9

10

11

12

13

14

Ln 1

                            

Ln 2

                            

Ln 3

                            

Ln 4

                            

Ln 5

                            

Ln 6

                            

(All Spaces and Punctuation Marks are counted as characters.)

All text lines are CENTERED on the brick.

==========

Brick #2:

Check one: o4"x8" 3 lines o8"x8" 6 lines

(All Spaces and Punctuation Marks are counted as characters.)

Char.

1

2

3

4

5

6

7

8

9

10

11

12

13

14

Ln 1

                            

Ln 2

                            

Ln 3

                            

Ln 4

                            

Ln 5

                            

Ln 6

                            

(All Spaces and Punctuation Marks are counted as characters.)

All text lines are CENTERED on the brick.

The Janesville Firefighters Charities reserves the right to approve the language on all bricks and may reject any brick whose content is not in keeping with the intent of the Walkway.

The Janesville Firefighters Charities is a non-profit organization and all brick purchases are tax deductible.