8 X 8 Family Building Tile

Name: 
Address: 
City, State Zip: 
Phone:(       ) 
eMail: 

Print your message in the grid below; one letter/square:

For additional orders, please send additional order forms. Please enclose your check for $250.00 with this form to the address below.

Three Rivers Carousel Foundation
c/o   Stone Age
2002 W 31st. Ave.
Kennewick, WA 99336

You will receive a receipt in the mail. Thank you very much!