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Get Your Horseshoe Brick
Use this form to enter your basic information, personalize your brick, and submit payment.
7
Questions
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1
Your First Name
*
This field is required.
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2
Your Last Name
*
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3
Your Email
*
This field is required.
example@example.com
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4
Brick Line 1
*
This field is required.
Top line of the brick. 14 character max.
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5
Brick Line 2 (Optional)
Middle line of the brick. 14 character max.
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6
Brick Line 3 (Optional)
Bottom line on brick. 14 character max.
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7
Amount
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8
My Products
*
This field is required.
***Please
select from one of the three payment options
by selecting the "+" to add the appropriate brick price to your order. If you skip this step, your brick inscription will be submitted, but your order will be incomplete until payment is submitted.
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My Bag
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My Bag
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Total cost
USD
Non-Member Brick
$
350.00
+
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Quantity
Annual Member Brick
$
250.00
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Quantity
Life Member Brick
$
200.00
+
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Credit Card
First Name
Last Name
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