Bricks for Bill Order Form - Desert Rose Baha'i Institute

(Interfaith)

Every Sunday 10:30am

…Program Schedule
……2010 Programs

…Reflections
…on the Rose
……Sat. June 26, 2010

…9 Facets to a
…Consecrated Life
……Thur. July 29 -
……Mon. Aug 1, 2010

…Thanksgiving
…Dinner
……Thur. Nov 25, 2010

…Baha'i History & You
……Thurs. Nov 25 -
……Sun. Nov 28, 2010

……

Bricks for Bill Order Form

Your Name *
Address *
City *
Zip / postal code *
Phone *
Your email address: *
Number of bricks: *
To pay by credit card please call us
Paid by check number:
Payable to Desert Rose Baha`i Institute
Bricks are $25 each
The scroll should read: *
	(i.e. "In honor of ..." or "In memory of ...")
Total price: *
Enter what you see: *