Online Brick Order Form

Brick Information

To donate a brick please fill out the form below and click submit. After submission, you will be directed to go to PayPal to make the $50 payment.
*Required




Each 4” x 8” brick can be engraved with 3 lines and 13 spaces per line. Please enter name, date, etc., as you want it to appear. One number or letter per box.*
Cost per brick is $50.

Donations are tax-deductible. The Andrew Jackson Higgins Memorial Foundation is a 501(c)3 organization.