Conway School District

Order Form 

Conway School SOCS-PTA

"Brick Project" 

Purchase a brick and create a permanent tribute to a loved one or friend

Or your time spent here at Conway School. 

$50.00 a brick for 2 lines(Please add $3.00 for additional line) 

(20 characters per line, including punctuation and spaces.)

Phone ( )_______________________________

I have enclosed a check payable to Conway SOCS~PTA             For _______ Brick(s)

OR Visa/MC _________/__________/__________/__________ Exp. Date_____/_____
($2.00 fee will be charged for Visa/MC)

Please print this form, fill it out and return with payment to:
SOCS-PTA
c/o Conway School
19710 State Route 534
Mount Vernon, WA 98274

~Each engraved Brick will be placed on the wall at the gate entry to Conway School making it a beautiful area reflecting all the support and dedication shown to this school. Your purchase of an engraved brick will help SOCS-PTA to continue to fund the technology needs of Conway School and maintain the great level of learning for all students.