Buy a Brick

Kawartha Settlers’ Village Anniversary Brick Program

Thank you for participating in our Engraved Brick project.  As a participant, an official brick certificate and tax receipt will be sent to you in the mail.  If you would like to purchase more than one brick, please fill out a separate form.  Please complete the following information:

Your Name (required):

Your Email (required):

Your Address (required):

Your City/Province (required):

Your postal code (required):

Your phone number (required):

Maximum Characters allowed is 18, including spaces and punctuation. Alpha Numeric List includes:A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9 0 & ‘ - . Please indicate below what you would like engraved on your brick:
Top Line:
Bottom Line: