Prairie Grove, IL · McHenry County

No notary required

Buy a Brick Program Form

Use this form to reserve an engraved brick and provide order and contact details for the Village of Prairie Grove’s first park.

What this form is

The form lets people reserve a permanent engraved brick to help fund the Village of Prairie Grove’s first park. It lists 4 x 8 and 8 x 8 brick options with their prices and asks for engraving text, contact information, and the amount paid. Bricks are engraved in capital letters, and the form gives instructions for returning it with payment or ordering online.

Who needs it

People who want to reserve a permanent engraved brick for the Village of Prairie Grove’s first park can use this form.

How to submit it

Return the form with a check payable to Village of Prairie Grove at 3125 Barreville Road, Prairie Grove, IL 60012, or place an online order at the listed Bricks R Us URL.

About notarization

No notary is required; the form contains no notary block or sworn attachment, and the document text does not request a signature or date.

How to submit this form

  1. 1

    Download the Form

    Download the Buy a Brick Program Form to provide your order and contact details.

  2. 2

    Choose a Brick and Enter Text

    Choose a 4 x 8 or 8 x 8 brick and enter the engraving text; the form says all text is centered unless otherwise noted.

  3. 3

    Prepare Payment

    Enter the amount paid and prepare a check payable to Village of Prairie Grove.

  4. 4

    Return the Form

    Mail the form and check to the address printed on it, or place an online order at the listed Bricks R Us URL.

Frequently asked questions

What does the Buy a Brick Program Form do?
It lets you reserve a permanent brick for the Village of Prairie Grove’s first park and provide the engraving text, contact details, and amount paid.
How do I submit the Buy a Brick Program Form?
Return the form with a check payable to Village of Prairie Grove at 3125 Barreville Road, Prairie Grove, IL 60012, or place an online order through the URL printed on the form.
Do I need a notary for the Buy a Brick Program Form?
No. The form has no notary block or sworn attachment, and it does not request a signature or date.

Need something notarized?

This Buy a Brick Program Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.