The Legacy Begins … Anew The Legacy Begins … Anew The Legacy Begins … Anew Legacy Donation Legacy Donation Legacy Donation ______ Other Inscribed Legacy Tree Leaf ______ Other Inscribed Legacy Tree Leaf ______ Other Inscribed Legacy Tree Leaf ______ $50.00 Amount: ______________ ______ $50.00 Amount: ______________ ______ $50.00 Amount: ______________ ______ $100.00 ($500.00 or more) ______ $100.00 ($500.00 or more) ______ $100.00 ______ $150.00 ______ $150.00 ______ $150.00 ______ $250.00 ______ $250.00 ______ $250.00 Legacy Commemorative Items Legacy Commemorative Items ($500.00 or more) Legacy Commemorative Items ______ Bricks at $ 100 $ _________ ______ Bricks at $ 100 $ _________ ______ Bricks at $ 100 $ _________ ______ Auditorium Seats $ 250 $ _________ ______ Auditorium Seats $ 250 $ _________ ______ Auditorium Seats $ 250 $ _________ ______ Capstone Plates at $500 $ _________ ______ Capstone Plates at $500 $ _________ ______ Capstone Plates at $500 $ _________ ______ Garden Trees at $1,000 $ _________ ______ Garden Trees at $1,000 $ _________ ______ Garden Trees at $1,000 $ _________ ______ Garden Bench (4 ft) at $1,500 $ _________ ______ Garden Bench (4 ft) at $1,500 $ _________ ______ Garden Bench (4 ft) at $1,500 $ _________ ______ Garden Bench (6 ft) at $2,500 $ _________ ______ Garden Bench (6 ft) at $2,500 $ _________ ______ Garden Bench (6 ft) at $2,500 $ _________ Total for Commemorative Items $ ________ Total for Commemorative Items $ ________ Total for Commemorative Items $ ________ ********** ********** ********** Method of Payment: Method of Payment: Method of Payment: Check to: The Wagnalls Memorial or Check to: The Wagnalls Memorial or Check to: The Wagnalls Memorial or Credit Card: Visa Credit Card: Visa Credit Card: Visa or MasterCard (circle one) or MasterCard (circle one) or MasterCard (circle one) Card No:____________________________ Card No:____________________________ Card No:____________________________ Expiration Date:________ Expiration Date:________ Expiration Date:________ Total Amount $_____________ Total Amount $_____________ Total Amount $_____________ Signature of Card Holder: Signature of Card Holder: Signature of Card Holder: _____________________________________ _____________________________________ _____________________________________ Thank You! The Wagnalls Memorial 150 E. Columbus St. P.O. Box 217 Lithopolis, OH 43136-0217 Telephone 614 837 4765 Thank You! The Wagnalls Memorial 150 E. Columbus St. P.O. Box 217 Lithopolis, OH 43136-0217 Telephone 614 837 4765 Thank You! The Wagnalls Memorial 150 E. Columbus St. P.O. Box 217 Lithopolis, OH 43136-0217 Telephone 614 837 4765 Since 1925 Since 1925 Since 1925 The Wagnalls Memorial Legacy Campaign The Wagnalls Memorial Legacy Campaign The Wagnalls Memorial Legacy Campaign The Legacy Begins… Anew The Legacy Begins… Anew The Legacy Begins… Anew Donation & Order Card Donation & Order Card Donation & Order Card Please use the back of this card to process your donation or to purchase commemorative items. Be sure to include the item cards as well with your request for inscription. Please use the back of this card to process your donation or to purchase commemorative items. Be sure to include the item cards as well with your request for inscription. Please use the back of this card to process your donation or to purchase commemorative items. Be sure to include the item cards as well with your request for inscription. Thank you for your generous support. If you have any questions please call Wagnalls at 614 837 4765. Thank you for your generous support. If you have any questions please call Wagnalls at 614 837 4765. Thank you for your generous support. If you have any questions please call Wagnalls at 614 837 4765. Please let us know how The Wagnalls Memorial has positively affected your life, either through fond memories, scholarships, or special events held at the Memorial. Please let us know how The Wagnalls Memorial has positively affected your life, either through fond memories, scholarships, or special events held at the Memorial. Please let us know how The Wagnalls Memorial has positively affected your life, either through fond memories, scholarships, or special events held at the Memorial. Name: ____________________________________ Name: ____________________________________ Name: ____________________________________ (Please Print) (Please Print) (Please Print) Address:__________________________________ Address:__________________________________ Address:__________________________________ __________________________________ __________________________________ __________________________________ Phone: __________________________________ Phone: __________________________________ Phone: __________________________________
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