Central Valley CSD Foundation - Engraved Brick Order Form

With an engraved brick you can leave your mark on Central Valley Academy forever! You can pay tribute to your graduating senior and mark the milestone of being the first graduating class from CVA with an engraved brick. You can leave a message to future generations or simply include your name among those who have supported our school district in the past. Currently placed bricks can be seen near the front entrance to Central Valley Academy.

2 lines- $35 3 lines- $39.00
(4x8" brick 14 characters per line including spaces)

Make checks payable to Central Valley CSD Foundation.

Mail this form to: Central Valley CSD Foundation PO BOX 146 Ilion, NY 13357

Name: ______________________________________

Phone: ______________________________________

Email: ______________________________________

Quantity: _______________ Total: _______________

Message: ___________________________________



* All messages are subject to approval by the Foundation