OSUWEAS: Brick Order Form

Brick Order Form

OSUWE Affirm Thy Friendship-Memorial Patio Brick Order Form>

In the blocks above, please print what you would like on your brick. You may use up to 3 lines with a maximum of 13 characters per line (including punctuation).

$750.00 per brick (duplicate form for each additional brick you wish to purchase)
Fax completed form to Candice Mahanay @ (614) 688-5001 or mail to address below
Please call Nancy Porter (614) 688-5194 with questions.

Please make checks payable to: Welding Engineering Capital Campaign Scholarship Fund, Account No. 531225. Purchaser Information:



Name:_______________________________________________________________





Address:____________________________________________________________





        ____________________________________________________________ 





Phone:______________________________________________________________

Mail to:

Edison Welding Institute
OSUWE Development Committee
Attn: Candice Mahanay
1250 Arthur E. Adams Dr.
Columbus, OH 43221-3585
candice_mahanay@ewi.org

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