YESh Brick Order Form

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Temple Shalom provides engaging and stimulating educational programming for children in our community. Through our YESh programs students learn about Judaism, engage in the study of the Hebrew language and socialize with peers. As our school continues to grow, we are offering an opportunity to leave your permanent imprint on our school and synagogue by purchasing an engraved brick along the new Walkway of Wonders, which is the official gateway to the school.

The proceeds of this fundraiser will supplement the Enrichment Fund, which supports facility updates, enhanced curricular materials, teacher appreciation and scholarships.

Please consider donating a brick in honor of your child(ren), in memory of a loved one, in celebration of a milestone (B’nai Mizvah, Confirmation, etc,) or in appreciation of a teacher or staff member.

Simply fill out the form below to reserve your brick(s)!

Thanks in advance for your support!

* Contact Persons Name:

* Email:

Mobile:

Address Line 1

City

State

Zip

# of Bricks - Text Only

$100.00/brick

# of Bricks - Text and Clipart

$125.00/brick

Brick 1: Text Only

Please do not exceed 20 characters.

Brick 1: Text and Clipart

Please do not exceed 15 characters.

# of Replica Tiles for Brick 1 (Optional Add-On)

$18.00/tile

Brick 1: Clipart Code

Brick 2: Text Only

Please do not exceed 20 characters.

Brick 2: Text with Clipart

Please do not exceed 15 characters.

# of Replica Tiles for Brick 2 (Optional Add-On)

$18.00/tile

Brick 2: Clipart Code

Brick 3: Text Only

Please do not exceed 20 characters.

Brick 2: Text and Clipart

Please do not exceed 15 characters.

# of Replica Tiles for Brick 3 (Optional Add-On)

$18.00/tile

Brick 3: Clipart Code

Total

Wed, September 18 2024 15 Elul 5784

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