Please complete the order form, then press submit

For questions you may contact us at 765.416.3550.


Your Contact Information

Armed Forces - list the city as the 3-digit code (i.e. APO, FPO, DPO).


Order your Memorial Brick

(Maximum of 15 characters…including spaces…are allowed per line)

NOTE: To specify a Heart Symbol (♥), use the number symbol (#) on your keyboard.



If the loss was within the past 30 days, we will personalize a brick for you free of charge.
Maximum of 15 characters [including spaces] For the Heart Symbol (♥), use the number symbol (#)
Maximum of 15 characters [including spaces] For the Heart Symbol (♥), use the number symbol (#)
Maximum of 15 characters [including spaces] For the Heart Symbol (♥), use the number symbol (#)
This brick is purchased by: (your name or by anonymous)...
This brick is in memory of: Son, Daughter, Grand Child, Niece, Nephew, etc...
If your circumstances require special attention you would like to discuss with us, please describe:

Please type in the Letters and Numbers below - the letters are not case sensitive

Press the Submit button to send



Type the Bold black letters