BarkPlace Custom Brick Order Form


Mail-in Order Forms

If you wish to pay via check, please complete and mail-in one of the following order forms:


Online Form

If you wish to pay via PayPal or credit/debit card, please complete the following form.

Personal Information

Brick Details

There are four commemorative bricks available to purchase. Depending on the brick type selected, you will be able to add a few lines of text and clip art.

Bricks are automatically centered, Top to Bottom and Left to Right.

Brick text*
Please select a brick type to see text options.

Choose a Payment Option

Price: Please select a brick type to see the price.