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Islip Booster Club- Islip High School
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4x8 Standard Brick Order
*
First and Last Name:
*
Phone number with area code:
*
E-Mail Address (for confirmation):
*
Line 1 Message (max. 14 letters/spaces, no symbols):
Line 2 Message (max. 14 letters/spaces, no symbols):
Line 3 Message (max. 14 letters/spaces, no symbols):
***I have carefully reviewed my order and understand that no changes may be made after the order is processed. Any changes (i.e., text) will require an additional order payment.
*
* indicates required fields
SELECT FEE
$75 - 4x8 Standard Brick (School only)
$100 - 4x8 Standard Brick (School and Home)