Memorial Brick Order Form If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Here's how it works: 14 characters max per line. 3 lines max per brick. Spaces and hyphens count on each line. Your message will be centered on the brick automatically. Please enter your name, email and phone to help us track your order. Your info is only for us. We won't sell it or share it with anyone else. Thank you! First Name * Last Name * Email * Phone * Number of Lines * 2 Lines - $50 3 Lines - $55 LINE 1: LINE 2: LINE 3: Total Please review each line for your Memorial Brick before submitting the form. We will contact you after we get your order to double check everything as well before we send it to the engraver. Thank you!