menu close

Gift & Payment Information
Review Gift

Personalized Paving Brick Order Form

Bordering the walkways of the main entrances at our Milwaukee, Ozaukee, Racine, Green Bay, and Door County Campuses are personalized bricks featuring tributes to well-loved people and animals. The bricks provide a great opportunity to honor or memorialize a family member, friend, or animal companion while supporting the lifesaving work of WHS. 

Inscriptions vary from 3-4 lines with 16-21 characters per line, depending on location and inventory. Once you complete this payment form, a staff member from your chosen campus will be in touch within 2 business days to collect your inscription and complete your order. 

Field Is Required Select brick type:

Billing Information

Payment Information

Payment Method:

Credit Card Information:

Credit Card Type:
  • Visa
  • Discover
  • American Express
  • MasterCard
What is this?

Check Information