I want to show my support for our emergency services personnel. Please order
  my brick as indicated.

  4" x 8" Brick - $100.00 - 3 Lines Max
  8" x 8" Brick - $250.00 - 6 Lines Max

  Each Brick will allow 20 characters per line, including spaces and punctuation
                                       
                                       
                                       
                                       
                                       
                                       

    Check here if you would like the brick to contain only the name listed in the billing
  information below.

    Name                                                                                                                                                

    Address                                                                                                                                             

    Phone                                                                                                                                                 

  Method of Payment:

                 Check Enclosed (payable to Oakland Community College Foundation)

                  Visa

                  MasterCard

     Credit Card #                                                               Exp. Date                                                      

    Signature                                                                                                                                            

How to Donate - Send this Form to:

Oakland Community College Foundation
2480 Opdyke Road
Bloomfield Hills, MI 48304-2266

If you would like more information on how to contribute to
CREST or the Oakland Community College Foundation,
please call 248.341.2133.