Cochran, GA · Bleckley County
150th Birthday Celebration Commemorative Brick Pathway Program Order Form
Cochran residents, businesses, and organizations use this order form to request a customized commemorative brick for the city’s 150th birthday pathway.
What this form is
This order form lets individuals, companies, and organizations request a customized brick for Cochran’s commemorative pathway in front of the Chamber. It asks for purchaser contact and mailing information and up to three lines of engraving, with a limit of 18 characters per line including spaces and punctuation. The form lists different prices for individual and company or organization bricks and explains how to pay and return the form.
Who needs it
Individuals, companies, or organizations seeking a customized brick for Cochran’s commemorative pathway should complete this order form.
How to submit it
Make checks payable to the City of Cochran and return the completed form with payment by mail to P.O. Box 8 or drop it off at 112 West Dykes Street, Cochran, GA 31014.
About notarization
This order form does not require a notary; it lists no sworn attachment or related notarized step, and asks the purchaser to provide order and engraving details.
How to submit this form
- 1
Download The Order Form
Download the Cochran commemorative brick order form.
- 2
Complete Purchaser Details
Provide your name, daytime phone, email, and mailing address.
- 3
Enter Engraving And Payment
Print up to three engraving lines, each no longer than 18 characters, and prepare a check payable to the City of Cochran.
- 4
Return The Form To The City
Send the completed form with payment to the listed mailing address or drop it off at the listed city address.
Frequently asked questions
- What is the Cochran commemorative brick order form for?
- It lets individuals, companies, and organizations request a customized brick for the pathway in front of the Chamber.
- What information does the brick order form ask for?
- The form asks for purchaser contact and mailing information and up to three lines of engraving, with 18 characters per line including spaces and punctuation.
- How do I submit the Cochran brick order form?
- Return the completed form with payment by mail to City of Cochran, Attn: Commemorative Brick, P.O. Box 8, Cochran, GA 31014, or drop it off at 112 West Dykes Street.
- Do I need a notary for the Cochran brick order form?
- No. The form does not require a notary and lists no sworn attachment or related notarized step; it asks for purchaser and engraving details.
Need something notarized?
This 150th Birthday Celebration Commemorative Brick Pathway Program Order Form doesn’t need a notary — but if you have another Cochran form that does, a commissioned online notary can help.