To order your bricks, use the order form below.
Please use a separate form for each brick ordered.
Each Brick costs $50. Please make checks payable to Kamiakin High School.

Name:

Phone:

Address:

Email:

You are allowed 54 letters (max.) on brick. Clearly write what
you want your brick to read in the squares provided below.

Line 1

Line 2

Line 3

Please turn in completed forms to Teresa Thoelke with your money.
Bricks will be in front of the new auditorium.
All proceeds go to the Kamiakin Class of 2005.

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