Forms

Please complete the brick order form below. Please know that brick orders are placed with the vendor once per quarter. Once you submit the form, within a few days, you will receive an invoice for $45 with the approximate date of your brick installation. You can pay online by clicking the link in the invoice OR you can pay by check.

If paying by check, make your check payable to VLMVC, place the check and the invoice in an envelope marked VLMVC and drop it in the club box at the clubhouse. Your brick order will not be included in the quarterly order unless it is paid for. Thanks!

If you have any questions, contact Rodney Davis at 904-382-6908 or via email: rodneydavis1948@gmail.com

Brick Order Form
Name
Email
Contact Phone Number
How would you like to pay?
Please check your entries for spelling and accuracy. You can have up to 3 lines engraved.
Line #1 (15 char max including spaces)
Line #2 (15 char max including spaces)
Line #3 (15 char max including spaces)
Special Instructions to the brick installer