The Quinnipiac Chamber &

the North Haven Professional Firefighters present:

“Buy a Brick !”

Buy an engraved brick to be placed in a newly designed hardscape in front of the

North Haven Fire Headquarters.

Memorialize a loved one, commemorate an anniversary, birthday, holiday or any event or milestone, recognize a business or honor a person!

This is a great gift!

 A portion of the proceeds will benefit the firefighter’s many programs!

Purchased by:_____________________________________________________________

Email: ____________________________________________________________

Address:__________________________________________________________

Phone:________________________________ Fax:________________________

Method of payment:  ____Cash____Check ___Credit Card - circle one:   MC   Visa    Disc   AmEx

 #_____________________________________Exp. Date_________________

Number of Bricks: ________ @ $60 each = Total $__________________

All checks should be payable to QBEF

Print this page and send to:     100 S. Tpke Rd. Wallingford 06492

Or fax:      203-269-1358  Attn: Liz Davis

Please place only one letter, numeral or punctuation (all count) per square.