Legacy Bricks Order Form

Husky Students,

Leave your legacy behind. Purchase your specially engraved commemorative brick to be installed in the walkway leading to the rear entrance of the school.

The brick measures 4" x 8". Contains up to 3 lines of engraved text or 3 lines of engraved text and 1 logo/symbol. There is a limitation of 18 characters per line in ALL CAPS. Please note that a grammatical symbol (period, comma, space, etc.) is a character. A Husky Logo or other symbols can be included for an additional $5. View available symbols at www.bricksrus.com/products/symbols/

Cost: $50 per brick Symbol/Logo: $5 (Only space for 1 logo per brick)

Please note: All brick orders are processed in one batch in the spring. Bricks will be installed in the spring and we will inform you when they have been installed.

Line 1

Line 2

Line 3

Symbol or Logo

If requesting Husky Log, enter Husky Logo

Total Cost *

Acceptable Payment Options:

E-check or credit card via Senior Fees at https://my.cheddarup.com/c/senior-fees-2021-2022 (please copy and paste link as some browsers will not allow you to link to Cheddar Up from a form)
Send cash (exact amount necessary) or check (payable to Heritage High School PTSA) to the school.

Name *

First Name Last Name

Email *

example@example.com

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

Area Code Phone Number