CSHS Commemorative Brick Order Form
This is a chance for Seniors, Graduates, Parents, Grandparents, or Friends to buy a brick(s) to honor their graduating Senior. Place your order by December 18, 2020, to be included in this year's engraving.

Each 4" x 8" brick is $100. All monies will be collected by December 18, 2020, in the front office or the InTouch online payment system. Checks may be made out to College Station High School.  
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Email *
Contact Information
Student Grade *
Student First Name: *
Student Last Name: *
Parent Name: *
Parent Email: *
You will receive a copy of this order.
Complete your inscription
Line 1 *
Your inscription can have a maximum of 16 CHARACTERS in this line. A character is defined as a letter, number, space or punctuation mark. No special characters.
Line 2
Your inscription can have a maximum of 16 CHARACTERS in this line. A character is defined as a letter, number, space or punctuation mark. No special characters.
This is an example of how the lines will be laid out on the brick.
If you have any questions, please contact Mr. Southard at 979-694-5800.
Reminder: Your confirmation email must be turned in along with payment to Gail Burleson at CSHS.
Please note that if CSHS Administration deems a message as inappropriate, CSHS reserves the right to refuse service with full refund.

By submitting this form, you agree to all the terms and conditions established by College Station High School in regards to this fundraiser.
A copy of your responses will be emailed to the address you provided.
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