Remebrance Golden Wall Brick Reservation Form

Registered Canadian Charity #89170 8166 RR0001. All donations are tax deductible

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Number:

Bricks in Basket


Instructions:

  1. To see available bricks, scroll around using the mouse on the above image. To see more instructions about the usage of the image move you mouse over the image and hover over the "i" symbol on the top left hand corner.
  2. If you want to add a brick to your order you can type the number of a brick in the "Brick Number" box and hit "See Brick" which will tell you if that Brick is reserved or if you are able to add it to your order.
  3. If it says its available then you will get a link on the side saying "Add This Brick to My Order". Please click this link if you wish to order that brick.
  4. After you have added all the bricks you wish to order. Press the "Click Here To Process This Order". This will then take you to an order form to fill out and submit to us. After that we will be in contact with you shortly to confirm your order or if you wish pay by credit card, please go to "Canada Helps" page.
Thank you for your kind support.