Commemorative Brick Commemorative Brick Commemorative Brick Program Program Program The perfect gift that lasts a lifetime. The perfect gift that lasts a lifetime. The perfect gift that lasts a lifetime. Your $100 contribution is a lasting tribute to honor or memorialize: Your $100 contribution is a lasting tribute to honor or memorialize: Your $100 contribution is a lasting tribute to honor or memorialize: • • • • • • • • • • • • • • • • • • • • • The Memory of a Family Member or Friend A Sweet Sixteen Birthday or Special Birthday An Anniversary That Special Someone Weddings or Special Events Celebrate Child or Grandchild’s Birth Recognize a Business For more information about the Commemorative Brick Program or other tribute opportunities, call the Garden office at 772-464-4672 or email [email protected] The Memory of a Family Member or Friend A Sweet Sixteen Birthday or Special Birthday An Anniversary That Special Someone Weddings or Special Events Celebrate Child or Grandchild’s Birth Recognize a Business For more information about the Commemorative Brick Program or other tribute opportunities, call the Garden office at 772-464-4672 or email [email protected] The Memory of a Family Member or Friend A Sweet Sixteen Birthday or Special Birthday An Anniversary That Special Someone Weddings or Special Events Celebrate Child or Grandchild’s Birth Recognize a Business For more information about the Commemorative Brick Program or other tribute opportunities, call the Garden office at 772-464-4672 or email [email protected] Name____________________________________ Address:__________________________________ City, State:________________________________ Zip:__________Phone:_______________________ E-mail:___________________________________ Amt. Enclosed:____________Date:_____________ CC#_____________________________________ Expires:_________________Sec Code: _________ Signature: ________________________________ Name____________________________________ Address:__________________________________ City, State:________________________________ Zip:__________Phone:_______________________ E-mail:___________________________________ Amt. Enclosed:____________Date:_____________ CC#_____________________________________ Expires:_________________Sec Code: _________ Signature: ________________________________ Name____________________________________ Address:__________________________________ City, State:________________________________ Zip:__________Phone:_______________________ E-mail:___________________________________ Amt. Enclosed:____________Date:_____________ CC#_____________________________________ Expires:_________________Sec Code: _________ Signature: ________________________________ My Donation is a Gift. Please send an acknowledgement to the person below. My Donation is a Gift. Please send an acknowledgement to the person below. My Donation is a Gift. Please send an acknowledgement to the person below. Name____________________________________ Address:__________________________________ City, State:________________________________ Zip:___________Phone:______________________ Name____________________________________ Address:__________________________________ City, State:________________________________ Zip:___________Phone:______________________ Name____________________________________ Address:__________________________________ City, State:________________________________ Zip:___________Phone:______________________ Acknowledgements will be made when the commemorative bricks are ordered. Custom engraving and brick placement may take six to twelve weeks. Additional charges may apply for artwork. Acknowledgements will be made when the commemorative bricks are ordered. Custom engraving and brick placement may take six to twelve weeks. Additional charges may apply for artwork. Acknowledgements will be made when the commemorative bricks are ordered. Custom engraving and brick placement may take six to twelve weeks. Additional charges may apply for artwork. Words and name(s) as they should appear on bricks. Please make checks payable and return this form to: Heathcote Botanical Gardens 210 Savannah Road Fort Pierce, FL 34982 Words and name(s) as they should appear on bricks. Please make checks payable and return this form to: Heathcote Botanical Gardens 210 Savannah Road Fort Pierce, FL 34982 Words and name(s) as they should appear on bricks. Please make checks payable and return this form to: Heathcote Botanical Gardens 210 Savannah Road Fort Pierce, FL 34982 For more information, contact the Garden office at 772-464-4672 or email [email protected]. For more information, contact the Garden office at 772-464-4672 or email [email protected]. For more information, contact the Garden office at 772-464-4672 or email [email protected]. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 800-435-7352 OR 850-410-3800. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. LIC #CH32824 A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 800-435-7352 OR 850-410-3800. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. LIC #CH32824 A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 800-435-7352 OR 850-410-3800. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. LIC #CH32824 Bricks may display up to 3 lines of 14 characters (including spaces) per line. Bricks may display up to 3 lines of 14 characters (including spaces) per line. Bricks may display up to 3 lines of 14 characters (including spaces) per line.
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