Gardendale High School Commemorative Bricks

Name:_________________________________________________________________________
Address:_______________________________________________________________________
______________________________________________________________________________
City, State, Zip:_________________________________________________________________
Daytime phone:_________________________________________________________________

Types of Bricks Available: 
_______# Old of bricks

:  Bricks from the old building will be available for purchase for $10.  The brick will have on it a small memorial plaque as shown below. 
 

_______# New of bricks:  These bricks will be somewhere on the campus of the new school and may be purchased for $50. Each brick includes up to 3 lines of engraving with as many as 13 spaces maximum per line.

Row #1:

Row #2:

Row #3:

Make checks payable to:  Gardendale High School

Mail this form with check to: Gardendale High School
ATTN: Mrs. Adams
800 Main Street
Gardendale, AL  35071