Your purchase is for a graphic Brick image on our
Family Name Wall Page. All proceeds are toward helping keep
Ghostories online and bringing new true stories each week.

Your First Name
Your Last Name
Street Address
Address (line 2)
City
State/Province
Country
Zip/Postal code
Home Phone
Work Phone
Fax
E-Mail
Print Your Family Name Here: Also, do you have a special sentiment you would like to see on the Family Wall Page? Let me know and I will place it there at no extra charge (limit 4 words please)
Fill in the Total Cost of $12.95 per brick (at right) ps...I will also link your brick to a personal web page, i f you have one, let me know the address)	Total Amount of Order: $ __________________
If paying by Credit Card Please check appropriate Card at the right:	--...MasterCard -- .. Visa
Credit Card: Credit Card Expires On: US Credit Cards Only, Thanks....	Month Day (if Applicable) Year
Number Shown on Your Credit Card:
Name Shown on Credit Card:

If you decide to pay by check, you should still complete this order and then mail
in your check (or money order) to: K. R. O'Neill Co. c/o O'Malley Corp.
720 West Sixth Street, Corona, CA 92882

    Thank You Very Much For Your Order
I will personally send you an email confirmation.
Bricks will be placed online within 5 to 10 days
 after receipt of your order.
--Ken O'Neill

For those who pay by credit card, your statement will show this entry:

"The K. R. O'Neill Company"

So not to worry, I process all my own orders and your card is safe.