Brick Order Form

Bricks may be purchased for $100.00 or more. Each brick includes up to 3 lines of engraving with as many as 15 characters, alpha or numeric, per line. Spaces, dashes, etc., count as a character. The only symbols that are allowed are an ampersand:'&' or a heart: '♥'. Your lines will automatically be spaced and centered by the engraver. Brick orders will be processed on a regular basis.

You can order your brick online or by mailing in your completed form. To order your brick online instead, click here

Also, if you are interested in adding your child's picture to "Our Children" page, or having your story included in the new section called "Our Stories", please include a picture and/or your story with your brick order.


Mail in Your Brick (fill out form below, print and mail in)
(maximum of 15 characters - including spaces - are allowed per line)

Row #1:
Row #2:
Row #3:

Purchased by:
Address:
City, State, Zip:
Phone Number:

Make check payable to:

 Angel of Hope Fund
Send payments to:
 MAILING ADDRESS:
Angel of Hope Memorial Garden
 2043 South Bend Ave. #168
 South Bend, IN 46637

If you are interested in adding your child's picture to "Our Children" page, or having your story included in the new section called "Our Stories", please include a picture and/or your story with your brick order.






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