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The Merced Theatre Foundation is pleased to partner with the City of Merced                        logo2

Merced Theatre Foundation                                  www.mercedtheatre.org

P.O. Box 716
Merced, CA   95341
(209) 722-3266

Merced Theatre Foundation                          Pick a Brick Order Form

 

            Yes!  We’d like to reserve a permanent brick to be installed at the Merced Theatre.

Name: ________________________________________________________________       ____

Address:  _____________________________________________________________     ______

City/State/Zip:  __________________________________  Email:  ________________       _____  

Phone: ___________________________

Small:  4 x 8 inch brick             ‡    $150.00 each – my check is attached 

Write your message below.  Each brick may contain up to 3 lines of copy, 18 characters per line.  All
                                                      text is centered unless otherwise specified.
     Brick 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

     Brick 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Large:  8x 8 inch brick:             ‡    $250.00 each – my check is attached 

Write your message below.  Each brick may contain up to 6 lines of copy, 18 characters per line.  All
                                                      text is centered unless otherwise specified.
           

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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The Foundation reserves the right to edit content.  Please return this form and your check payable to:

Merced Theatre Foundation                                  www.mercedtheatre.org

Print this form and mail to:
Merced Theatre Foundation
P.O. Box    716
Merced,   CA   95341