Honor a Railway Worker - Remember a Loved One - Preserve History - Make New Memories - Give a Gift!

Thank you for contributing to the restoration of Conneaut Lake Park's historic Bessemer Railway System miniature train! We hope you will visit this summer to see your engraved brick in person! Please make checks and money orders payable to Conneaut Lake Institute, Inc., and mail your payment/donation, along with this form, to the following address:

Conneaut Lake Institute, Inc.
P.O. Box 111
Conneaut Lake, PA 16316

Donation__________             Brick Order__________

Name_____________________________________                    Quantity:   4'' x 8''________x $100=__________

Address___________________________________                                   8'' x 8''_________x $200=_________

__________________________________________                   Total Amount Enclosed____________________

Phone_____________________________________

Email______________________________________

Please Note:  For 4'' x 8'' bricks, you have 3 lines and 20 characters on each line. For 8'' x 8'' bricks, you have 3 additional lines of 20 characters each. Characters include letters, numbers, spaces and punctuation marks.

Please insert your inscription below:                                                                          4'' x 8'' brick

If you would like to purchase a larger brick, continue in the blocks below:                    8'' x 8'' brick

Conneaut Lake Institute, Inc. reserves the right to deny engravings based on content.
Donations to this project are tax deductible.

Thank You!
We'll see you at Conneaut Lake Park!