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                                     &nbs= p;   Brick #___________      
1= 56th Network Signal Company  
C= OMMEMORATIVE BRICKS ORDER FORM  
                                     
Yes, We'd like to reserve a permanent = brick to be installed in the 156th Net Signal Co Sign
                                     
Na= me:                                  
                                     
Ad= dress:                                  
                                     
Ci= ty/State/Zip:                                
                                     
Ph= one:                      = Email:           
                                     
B= ricks are 4" x 8" Standard.  Each brick may contain up to 2 lines of copy, 19 characters per line
A= ll text is centered unless otherwise specified
                                     
E= NTER A LETTER IN EACH BLOCK TO INCLUDE SPACES AND CHARACTERS                    
                                     
                                      Line  = 1
                                      Line  = 2
                                      Line  = 3
                                      Line  = 4
                                      Line  = 5
We are raising money for a New Unit Sign at the Adrian Armory.  A two line standard= brick is $50.00, lettering will be 1/2" all caps to include spacing and all characters (hyphens, comas, etc)
                                     
P= lease return this form and your check for $50.00, $65.00, or $100.00 payable to:  
1= 56th Network Signal Company  
2= 30 W. Maumee Street  
A= drian, MI 49221-2022  
                                     
F= orms must be received by June 2nd, 2008.  
<= span style=3D'mso-spacerun:yes'> If you have any questions, please= call SSG Larry Bedolla at (517)265-7987.  
      <= /td>
4” x 8” Standard Building = Brick (Used to build Unit Sign)       &nbs= p;   $50.00  
(2 lines, 19 Characters per line inclu= ding spaces & punctuations)
(Need to sell 860 Standard bricks in o= rder to build the sign)
4” x 8” Paver Brick (Used = to build Walkway once sign is built)  &= nbsp; $65.00
(3 lines, 19 Characters per line inclu= ding spaces & punctuations)
8” x 8” Paver Brick (Used to build Wa= lkway once sign is built)   $= 100.00
(5 lines, 19 Characters per line inclu= ding spaces & punctuations)  
Check:       &nbs= p;    #___________
Cash Received: ____________
DATE RECEIVED:
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