Brick order form

250th Anniversary Fundraiser – Support us by sponsoring a personalized brick in our walkway!

Individual/Family – Donation of $50 per BRICK
Corporate Sponsor – Donation of $250 per BRICK

We will gladly accept additional donations to support the Barn Project!!

All engravings will be centered on the bricks, in both top-to-bottom and left-to-right.
15 Characters per line MAXIMUM, 3 lines of text MAXIMUM
Spaces, hyphens and punctuation are considered characters.

Please print and fill out the PDF form Personalized Brick Order Form.

Make check payable to: Brookline Historical Society and mail to P.O. Box 595 Brookline, NH 03033

Brookline Historical Society
A 501 (c)3 Non-Profit Organization
~ Barn Raising Project ~
P.O. Box 595
Brookline NH 03033

Federal Tax ID 02-0367428

Brick order form