Submittal Form (Brick Program) PDF

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CHIEFSVILLE CIRCLE 5 ” 1-SLINES OF TEXT (14 CHARACTERS PER LINE) “BRICK BY BRICK 1-5 LINES OF TEXT (14 CHARACTERS PER LINE) *+S2FOR EXTRA LINE ++S2 FOR EXTRALINE PROGRAM FILLOUT YOUR MESSAGE BELOW (PRINT CLEARLY) $250 Te eT eta ease 4 Ooo B L OO CEMENT A NAME IN SYRACUSE CHIEFS HISTORY BY PURCHASING A CUSTOMIZED BRICK TO BE PLACED IN “CHIEFSVILLE CIRCLE”, LOCATED DIRECTLY IN FRONT OF NBT BANK STADIUM'S MAIN GATE HELP REBUILD THE SYRACUSE| CHIEFS “BRICK BY BRICK”. WITH YOUR ASSISTANCE WE WILL LAY A STRONG FOUNDATION TO SOLIDIFY BASEBALL IN ‘SYRACUSE FOR YEARS TO COME. FILL OUT THE FORM BELOW Your Name: Address: Email: Form of Payment: [Cash "icheck O Credit Card ome ling ping "Please make checks payable the Syracuse Chis (OVisa MC 1 Discover | AMEX Attn: Brick Program Credit Card # Sec. ‘NBT Bank Stadium 1 Tex Simone Dr. Name on Cert.: Syracuse, NY 13208 Signature: * Call 315-474-7833 or visit syracusechiefs.com for more information *

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