Brick Engraving Order Form

The bricks are laid in the B-CC High School interior courtyard!

The cost is $75 per brick.

Please print and complete the following form and mail it along with your check
(payable to B-CC HS Educational Foundation) to:
B-CC HS Educational Foundation, P.O. Box 31209, Bethesda, MD 20824-1209.

Please engrave the following information on my brick(s):

(Maximum three lines of text, 21 characters per line, including punctuation and spaces.
All texts will be centered horizontally and vertically.)

Brick 1


Brick 2


Brick 3


Your name   __________________________________________

Phone number   ______________________________________

Address ______________________________________________________________________________

Email ________________________________________________

Class year ________________________