East Bend, NC · Yadkin County
Town Square Brick Order Form
East Bend residents and supporters use this form to reserve an engraved brick for pathways near the Town Square ticket booth and flag area.
What this form is
This form lets people reserve a permanent 4-by-8-inch brick to help raise money for the new East Bend Town Square. It asks for the engraving text, name, phone number, address, email, and amount paid. The form states that orders and a check payable to East Bend Town Square were due at Town Hall by September 30, 2022.
Who needs it
People who want to reserve a permanent engraved brick for the East Bend Town Square can use this order form.
How to submit it
Return the form with a check payable to East Bend Town Square at 108 West Main Street, East Bend, NC 27018; the form lists September 30, 2022, as the last day to order.
About notarization
This form does not require a notary; it has no sworn attachment or related notarized step, and the signer completes the order details.
How to submit this form
- 1
Download The Form
Download the East Bend Town Square Brick Order Form.
- 2
Complete The Order Details
Enter the requested engraving text and contact details, along with the amount paid.
- 3
Prepare The Check
Include a check payable to East Bend Town Square.
- 4
Return The Form
Return the form and check to 108 West Main Street, East Bend, NC 27018.
Frequently asked questions
- Do I need a notary for the Town Square Brick Order Form?
- No. This form does not require a notary and includes no sworn attachment or related notarized step; complete the order details.
- How do I submit the brick order form?
- Return the form with a check payable to East Bend Town Square at 108 West Main Street, East Bend, NC 27018. The form lists September 30, 2022, as the order deadline.
- What information does the form request?
- It requests engraving text, your name, phone number, address, email, and amount paid. Engraving is in capital letters, and symbols count as one space.