Brick Program

Make a lasting impression for the Valley's uninsured.
Purchase a personalized exterior brick in the VIM Founder's Plaza!
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.
Enter details on the form below to make your Brick Purchase purchase online,
or click the button 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.