Jackson Gateway Foundation Brick Form

Jackson Gateway Foundation Brick Form

Provide your contact information, brick count, inscriptions, and payment details. The goal of the Jackson Archway Project Fund is to work in cooperation with the City of Jackson to restore and beautify the historical downtown Jackson Main Street. The committee has several projects in mind to accomplish and is hoping to meet these goals head on. Currently, the committee has partnered with the Mayor of Jackson and several other community members to build an Arch at the beginning of Main Street. To help raise money for this project, you can donate directly to this fund or buy a brick that will go on the side of the firehouse forever or a plaque that will go on the arch forever.
Name
Donor Information
Email
example@example.com
Full Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Brick Order and Inscriptions
Number of Bricks
Include Personalized Brass Plaque
Brick 1: Capital letters Maximum of 15 characters on each line Three lines total
Brick 2: Capital letters Maximum of 15 characters on each line Three lines total
Brick 3: Capital letters Maximum of 15 characters on each line Three lines total
Brick 4: Capital letters Maximum of 15 characters on each line Three lines total
Brick 5: Capital letters Maximum of 15 characters on each line Three lines total
BRASS PLAQUE: Capital letters Maximum of 15 characters on each line Three lines total
Pricing and Payment
Brass Plaque Price

$5,000
Brick Pricing Summary:

$250 or 5 for $1,000

While we appreciate your support and the opportunity to recognize your name or message on the firehouse wall, specific brick placement locations cannot be guaranteed. Bricks will be placed within the designated area in the order and location determined by the project organizers.
My Products
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Single Brick
$250.00 Quantity



5 Bricks
$1,000.00 Quantity



Brass Plaque
$5,000.00 Quantity



Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

Jackson Gateway Foundation Brick Form

Donor Information

Brick Order and Inscriptions

Pricing and Payment

My Products

Payment Methods