Brick Order Form

Sample Order Form for Brick.

•  Go ONLINE to: www.fundraisingbrick.com/rpcvplaza/ 

• OR print the order form below and mail it with your check to: PCLA, P.O.Box 47011, Minneapolis, MN 55447    

  • File for printing: [Brick_Order_Form_2025]  

  • Holiday Special: Free replica brick through Jan. 1, 2026 (fee for shipping only)