Central Association of the Miraculous Medal

Thank you for your generous support of St. Vincent's Rosary Walk & Shrine to Our Lady of Knock.

Once your purchase is complete and your inscription approved, it can take up to 6 weeks for your brick to be installed along the path.

If you would like to purchase more than one brick, please complete this form and you will be redirected to fill out the form again.

$ 250

Brick

Total Amount: $0.00 (U.S. Currency)

Include your brick inscription below.
Please note your inscription is limited to 18 letters per line and 3 lines of text ONLY. Spaces and punctuation count and we cannot engrave any symbols.

Line 1: *
Line 2:
Line 3:

Payment Options*

Credit Card or Check/Debit Card

Bank Account Transfer (ACH)

Card Number

Security Code (CVV2)

Expiration Date

Yes! I wish 100% of my donation amount to go to the Central Association of the Miraculous Medal. I would like to pay the 3% processing fee associated with my donation.

Account Type(U.S. Banks Only)

Account Number

Routing Number

Yes! I wish 100% of my donation amount to go to the Central Association of the Miraculous Medal. I would like to pay the $0.25 processing fee associated with my donation.

Your Information

First Name *

Last Name *

Company

Title/Position

Billing Address*

City*

State*

Zip*

Province

Postal Code

Country

U.S. Phone*

() -

International Phone*

Email*

All payments provided to Central Association of the Miraculous Medal comply with U.S. laws and regulations.