Place de Vie Bricks

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When submitting your engraving, you must count the number of characters (include letters, numbers, punctuation, and spaces) as the field will not prompt when 17 characters has been reached.

Lafayette General employees, please add your PROMO code on the checkout page.  If you don't have the code please call us at 337-289-8954 and we will provide it to you.

On the checkout page, you must enter your email address so an email can be sent to you confirming the details of your engraving, along with a receipt of your donation.

   ** If you prefer to mail in your donation, simply download, print, and fill in this order form and send it to the address listed at the bottom of the form.  

Download Here

Here are some examples of how you might use the lines on your brick:

 

DR & MRS BO JONES

IN MEMORY OF
OUR LOVING MOTHER
FAY BROUSSARD

IN HONOR OF
DR JOHN MEAUX

JULIE SMITH
ORGAN DONOR
MUCH LOVED