A brick will be engraved for a donation of $30 or more.  Names can be two lines of 13 characters, (spaces count as characters.)  Circle your preference for the location of the brick:
 

      St. Isidore     St. Francis     St. Anne     St. Therese     Pieta     No Preference

Name                                                       Address                             

Phone                                                                                           

     (  )  I am interested in volunteering at the Shrine.......