------Yes, we’d like to reserve a permanent brick. Please engrave our brick as follows:

ANY SYMBOL IS CONSIDERED ONE SPACE (PERIOD, COMMA, DASH) ALL TEXT IS CENTERED UNLESS OTHERWISE NOTED 4 x 8 Brick

Please go to: https://www.bricksrus.com/products/symbols/ to pick any artwork that you would like displayed on your brick.

CLIP ART:______

*If you would like the ERHS Mustang head logo, please indicate that in the space above, this logo does not appear on the clip art page.

EXAMPLE G O N E W T O N H I G H L I O N S S T A T E C H A M P I O N S 2 0 0 2 , 2 0 0 3 , 2 0 0 4

CLIP ART: Track Runner Male

PLEASE RETURN THIS FORM AND CASH/CREDIT TO THE ERHS STUDENT STORE

$100

Name: ______Phone: (______) ______Address: ______City: ______State: ______Zip: ______Email Address: ______Amount Paid: ______

If you have any questions, please call the ERHS Student Store (951) 738-2100 ext.1140.