This program provides supporters of the Museum with the opportunity to purchase a brick and leave their legacy at this historic site.
- Please type or print information leaving one space between initials and punctuation marks etc.
- Each Space should be counted as a character. Illegible information will cause a delay in the brick order
- The Museum reserves the right to decline orders due to inappropriate information. No commercial script please.
Purchases may be made either by Check (payable to: National Civil Rights Museum) or credit card (MasterCard, Visa or AMEX) and are tax deductible. After completing the form you may print and fax it to (901) 527-1229 or mail the form with your check or credit card information to National Civil Rights Museum, 450 Mulberry St., Memphis, TN 38103. Your request will be processed upon receipt of your check or credit card authorization.
|8 x 4 Inch Engraved Brick
2 Line (28 Characters Total)
|8 x 8 Inch Engraved Brick
4 Line (56 Characters Total)