Make checks payable to OSS Foundation. Bricks are $25.00 each. Mail check and order form to: OSS Bricks-Jan Primas, 10925 Western Road, Duke, MO 65461 or call 573 435-6766 for info.

The engraved brick can have no more than three lines of 12 characters (letters AND spaces).

 

Line 1
                       

Line 2

                       

Line 3

                       

Your Name____________________________Telephone _______________

Street________________City _______________State____ Zip ______
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