Brick Program


Brick Program | CVVIM
Make a lasting impression for the Valley's uninsured.
Purchase a personalized exterior brick in the VIM Founder's Plaza!
(Actual brick will be different than these examples.)
Your personalized brick can be a memorial gift, be in your name, or honor a family member, friend, special individual or occasion. It can also be in the name of an organization or company.

Each 6" x 12" brick costs $100 and allows up to 3 lines of text.
Lines have a maximum of 16 characters, including spaces and special characters.
PURCHASE ONLINE
Enter details on the form below to make your Brick Purchase purchase online.
You will be redirected to PayPal to complete your purchase.

BUY NOW WITH PAYPAL
MAIL IN ORDER-FORM
Click here to download a .pdf of the form. Mail the completed form with your
check or money order to: P.O. Box 10090, Indio CA 92202.