TO ORDER ONE OR MORE BRICKS, PLEASE PRINT THIS MEMORIAL BRICK ORDER FORM

MEMORIAL BRICKS CAN BE PURCHASED FOR PLACEMENT IN THE LANDSCAPED PATIO ON THE SOUTH SIDE OF THE OLD JAIL. THESE PAVING BRICKS CAN BE MONOGRAMMED WITH THE NAMES OF INDIVIDUALS OR FAMILIES, OFFICES, BUSINESSES, AND ORGANIZATIONS WHOSE SUPPORT MAKES POSSIBLE THE CONTINUED PRESERVATION OF HOOD COUNTY HERITAGE.
PRICES:
•	 ONE BRICK 		$40.00
•	  TWO BRICKS		$75.00
•	  THREE BRICKS	$105.00
•	  FOUR BRICKS		$130.00
•	  ADDITIONAL BRICKS - $25.00 EACH

EACH BRICK MAY HAVE ONE, TWO OR THREE LINES, WITH 16 SPACES PER LINE.

CHECKS OR MONEY ORDERS SHOULD BE MADE OUT TO HOOD COUNTY MUSEUM AND MAILED TO:
HOOD COUNTY MUSUEM
		ATTN: KAREN SMITH, TREASURER
		208 N. CROCKETT STREET
		GRANBURY, TX  76048

BRICK 1	LINE 1: 	___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

LINE 2:	___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

LINE 3:	___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

BRICK 2	LINE 1: 	___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

LINE 2:	___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

LINE 3:	___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

BRICK 3 	LINE 1: 	___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

LINE 2:	___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

LINE 3:	___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

BRICK 4 	LINE 1: 	___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

LINE 2:	___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___

LINE 3:	___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___