Rib Burnoff Breakfast on the Bridge Special Olympics Support the Strongsville Clock Tower

Clock Tower Project Brick Order Form


Please fill out the form below. Upon submission of this form, you will be taken to a page with the option to submit your payment online via PayPal, or to send your payment by check.



*Indicates a required field.
  • *Brick Type:



  • Brick Text:  12 Characters per line, including Spaces.

  • Brick Text - Line 1:
  • Brick Text - Line 2:
  • Brick Text - Line 3:
  • Brick Text - Line 4 (Corporate Only):

  • Input your contact information below and click submit.

  • *First Name:
  • *Last Name:
  • Company:
  • *Address:
  • *City:
  • *State:
  • *Zip Code:
  • Phone (Home):
  • *Email:
  • *Payment Type:

  • Comments/Notes: