2020-21 PVHS Partnership Brick Order Form

First Name *

Last Name *

Email *

I have a graduating senior and would like a graduation cap on our brick. *

Yes

No

Please choose the brick that corresponds with your donation level. *

BOOSTER LEVEL ($500-$999) is a 4"x8" Red Brick

HONOR ROLL LEVEL ($1,000-$2,499) is a 4"X8" White Brick

TRIDENT LEVEL ($2,500-$4,999) is a 8"x8" Red Brick

SEA KING LEVEL ($5,000 and above) is a 8"x8" White Brick