8×8 Brick Form

Congratulations! You Already Qualify!

Thank you for supporting Casa Esperanza Bakersfield. Because you already donated over $1,000, you qualify for the 8×8 brick to be placed at our home. Please fill out the form below and we will make sure your brick gets ordered.

Note: Any symbol is considered one space (period, comma, dash). All text is centered unless otherwise noted. There are 21 characters allowed per line. You do not need to fill out all 6 lines.

Need some ideas for inscriptions? Click Here!

8X8 Brick Form

Please engrave our brick as follows:
Name