Payment for Legacy Wall Brick Order Form

The Olympus High School Foundation is pleased to offer another opportunity to purchase a brick for our "Legacy Wall" across from the main office. Your support and donation will fund college scholarships and awards for graduating Olympus seniors.

These bricks will be installed in the summer of 2026.

Three sizes of bricks are available for purchase.

4"X8" for $200 (up to four lines of text)
8"X8" for $400 (up to six lines of text)
12"X12" for $700 (up to 10 lines of text)

23 CHARACTERS ALLOWED ON A LINE. ANY KEYS PUSHED ARE CONSIDERED CHARACTERS (PERIOD, COMMA, DASH, SPACE)
NO EMOJIS CAN BE USED
ALL TEXT ON BRICKS WILL BE CAPITALIZED AND CENTERED

Please contact Sydnee Madsen with any questions at 801-808-9780 or at sydnee.madsen@gmail.com. Thank you!

First Name *

Last Name *

Phone *

Email *

Brick Size *

4" X 8" Brick ($200)

8" X 8" Brick ($400)

12" X 12" Brick ($700)

4 x 8 Brick Line 1

4 x 8 Brick Line 2

4 x 8 Brick Line 3

4 x 8 Brick Line 4

8 x 8 Brick Line 1

8 x 8 Brick Line 2

8 x 8 Brick Line 3

8 x 8 Brick Line 4

8 x 8 Brick Line 5

8 x 8 Brick Line 6

12 x 12 Brick Line 1

12 x 12 Brick Line 2

12 x 12 Brick Line 3

12 x 12 Brick Line 4

12 x 12 Brick Line 5

12 x 12 Brick Line 6

12 x 12 Brick Line 7

12 x 12 Brick Line 8

12 x 12 Brick Line 9

12 x 12 Brick Line 10

Total Amount

$

Payment method

Credit Card

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Type*

Card Holder Name*