Donation Confirmation
Please complete the fields below with the Memorial Brick Tribute information:
Walk of Memories Brick Campaign
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Donor Name
*
First
Last
Please use the name of the person who purchased the brick.
Line 1
20 Characters
Line 2
20 Characters
Line 3
20 Characters
Acknowledgement Certificate
If you would like an Acknowledgement Certificate sent to someone, please provide the Name, Address, City, State and Zip above.
Message
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