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Blessed Mother Grotto Engraved Brick Order

- The Blessed Mother Grotto is located near the Steubenville Pike entrance to the Holy Trinity Campus of Archangel Gabriel Parish . The engraved bricks help maintain the prayerful atmosphere of the Blessed Mother Grotto. The donations for the engraved bricks also help fund the work of the Archangel Gabriel Knights of Columbus.
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  Information of Person Ordering
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Number of Bricks REQUIRED Please fill out this field.
  
  Brick 1
  
  Please type the inscription you wish to appear on your engraved brick. There is a limit of three lines with 20 spaces per line.
  
  Inscription Line 1 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Inscription Line 2 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Inscription Line 3 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Brick 2
  
  Please type the inscription you wish to appear on your engraved brick. There is a limit of three lines with 20 spaces per line.
  
  Inscription Line 1 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Inscription Line 2 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Inscription Line 3 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Brick 3
  
  Please type the inscription you wish to appear on your engraved brick. There is a limit of three lines with 20 spaces per line.
  
  Inscription Line 1 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Inscription Line 2 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Inscription Line 3 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Brick 4
  
  Please type the inscription you wish to appear on your engraved brick. There is a limit of three lines with 20 spaces per line.
  
  Inscription Line 1 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Inscription Line 2 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Inscription Line 3 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Brick 5
  
  Please type the inscription you wish to appear on your engraved brick. There is a limit of three lines with 20 spaces per line.
  
  Inscription Line 1 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Inscription Line 2 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Inscription Line 3 REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
  
  Payment
  
  Donation for Each Engraved Brick50.0
  
  Total:
  
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