Please complete this AFTER you have purchased your brick. Name First Last Email Agency / Chapter Order Number*You will find this on your confirmation email. Size of Brick Ordered*Select the size brick you ordered then scroll down to the section with the correct number of lines and spaces available on your brick. 4″ x 8″ 8″ x 8″ 16″ x 16″ If you ordered 4" x 8"You can have up to 3 lines of text with 14 characters per line.Line 1 – 4×8 Brick Line 2 – 4×8 Brick Line 3 – 4×8 Brick If you ordered 8" x 8"You can have up to 6 lines of text with 14 characters per line.Line 1 – 8×8 Brick Line 2 – 8×8 Brick Line 3 – 8×8 Brick Line 4 – 8×8 Brick Line 5 – 8×8 Brick Line 6 – 8×8 Brick If you ordered 16" x 16"You can have up to 12 lines of text with 28 characters per line.Line 1 – 16×16 Brick Line 2 – 16×16 Brick Line 3 – 16×16 Brick Line 4 – 16×16 Brick Line 5 – 16×16 Brick Line 6 – 16×16 Brick Line 7 – 16×16 Brick Line 8 – 16×16 Brick Line 9 – 16×16 Brick Line 10 – 16×16 Brick Line 11 – 16×16 Brick Line 12 – 16×16 Brick hCaptcha*