Buy a Brick Donation Form

Thank you for your interest in our 'Buy a Brick' project! Please enter your information below.

Please enter the name to be inscribed on the Centennial Plaza brick. Your donation covers the cost of the brick and up to 2 lines of engraving (font size adjusted to accommodate number of characters).
You may pay by credit card via the confirmation page which will appear when you submit the form, or you can select "by phone" above and call the office at 604-535-0015 to pay by phone. If you prefer to pay by cheque, select that option and either drop it off at the office or post it to Alexandra Neighbourhood House, 2916 McBride Ave, Crescent Beach BC, V4A 3G2. (Please note on your cheque: Alex House Buy a Brick web form submitted)