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, or 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.