Each order creates one personalized brick. Need multiple bricks? Start a fresh form for each additional order.

Order Your Memorial Brick

8x4 inch brick - 3 lines, 10 characters per line (including spaces)

First Name *

Last Name *

Email Address *

Phone Number *

Click in each box to enter your text. Each box represents one character.

Note: Emojis, shapes, colons (:), and semicolons (;) are not allowed. Other symbols like commas, quotes, periods, and hashtags are permitted.

Line 1:

Line 2:

Line 3:

8x4 Memorial Brick: $99.00