THANK YOU FOR YOUR DONATION TO THE HOSPICE MEMORIAL GARDEN FUND. Mail or deliver completed order form to: In 2010 sixteen stones were placed in the Hospice Memorial Garden, aiding in the grieving process of many families. If you would like to order a stone in memory of a loved one or friend, you may complete the enclosed form or contact Mary Ingersoll at 376-8211 or [email protected]. Friends of Lewis County HospiceMemorial Garden Fund c/o Mary Ingersoll 5511 Jackson Street Lowville, NY 13367 315-376-8211 HOSPICE MEMORIAL GARDEN “To honor those we have loved and lost who remain always in our hearts…” The Hospice Memorial Garden, located behind the Lowville Post Office in the Veterans’ Memorial Park, was established to help those grieving the loss of a loved through communing with Nature. Each year we see the garden flourish with seasonal colors in honor of our dear ones’ memories. The beautiful setting with the angel statue attracts many to use the garden site for wedding and family photos. And so the deceased are never forgotten, but continue as a part of the cycle of the living. Memorial Stones Order Form For Hospice Memorial Garden (Use a separate sheet for each stone ordered, please.) Donor’s Name (print): ___________________ Address: ______________________________ _____________________________________ Telephone :_______________ Date: _______ ******************************** Pennsylvania Blue Stone Memorials (2 sizes available—check one only) _____ Small Stone (5 ½” tall X 11 ½” wide) Donation: $100 each (Maximum of 3 lines with 17 characters and spaces per line.) ____Large Stone (11 ½” square) Donation: $200 each (Maximum of 6 lines with 17 characters and spaces per line.) Make checks payable to Friends of Lewis County Hospice-Memorial Garden Fund. ******************************************* Inscription on stone: (lettering and spacing will be The Friends of Lewis County Hospice, Inc. is a Not-For-Profit corporation established for the following purposes: Initiating and conducting fund raising activities for the benefit of Lewis County Hospice; Promoting Hospice in the Lewis County Community through pubic relations, volunteer recruitment and any and all activities as necessary for the support and maintenance of Lewis County Hospice; to advise the Lewis County Board of Legislators on Hospice related issues; and to solicit public and corporate grants and contributions for the benefit of Lewis County Hospice. centered unless otherwise noted) Limit: Small stone– 3 lines; Large stone– 6 lines Do you need a receipt? ___Yes ___No May we publish your name as a donor in a news release? ____Yes ____No Authorization Signature: ____________________________ Memorial stones prepared by T. F. Wright, Carthage, NY.
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