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2. 
4. Purchaser's Information
6. First Name*
7. Last Name*
9. Email Address*
10. Phone Number*
14. If you purchased more than two bricks, please fill out additional forms as necessary.
16. Guidelines for Bricks
    • Each brick can include three lines. 
    • Each line has a maximum 13 characters.
    • Spaces contribute to character count.
    • Messages on bricks will be centered.
    • All letters will be the same size and in capital letters.
18. Text for Brick #1*
20. Text for Brick #2
22. Fine Print

    The Oklahoma Aquarium Foundation reserves the right to make final approval of the content of every brick. 

    Bricks will be installed annually each spring.

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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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