Share Yours!
Donor Information:
Name ___________________________
Address _________________________
City ____________________State ____
Zip ________Phone (___)___________
These beautiful bricks are offered in three
sizes:
4” x 8” …... $150 donation
8” x 8” …... $300 donation
12” x 12”... $500 donation
email ___________________________
(providing your email is encouraged)
Ways to Give:
Checks payable to
Crystal Coast Hospice House
Online at www.crystalcoasthospicehouse.org
Four out of ten hospice patients are
referred to inpatient care.
Please support the hospice home and
order your special brick today!
(credit and debit cards accepted through our
secure online processor or with PayPal)
Credit cards:
Share Yours!
Every Brick Tells a Story
“Several years ago, my father was diagnosed
with an aggressive form of cancer. In the last
month we had with him, he was in and out of
the hospital. We were fortunate to have a
hospice nurse during his final days at
home. This was our only option with no hospice facility available in our area. The SECU
Crystal Coast Hospice House will change this
for our community. A state of the art facility
with the capacity to serve Onslow county and
surrounding areas will be a tremendous blessing for families when they need the help the
most.”
Jamie Applequist
"As a citizen as well as the Mayor of
Vandemere in Pamlico County, I can see the
comfort and the blessings the Crystal Coast
Hospice House will bring to our present citizens
--and-- to those who might relocate here. We
are so very thankful to have this facility so
close with the services it will provide at one of
the most emotional and delicate times of our
lives."
Judy H. Thaanum
complete the following
information:
□Mastercard □Visa □AmEx □Discover
Name on Card______________________
Card # ___________________________
Expiration Date ___/____CIP __________
Signature: ________________________
For questions or additional information, please
contact us at 252-808-2244 or
[email protected].
Please mail your completed form to:
CCHH
PO Box 483
Morehead City, NC 28557
One Brick.
Scheduled to open in July 2013, the SECU Crystal
Coast Hospice House, located at 100 Big Rock
Weigh in Newport NC, will fill a tremendous need
for a hospice home in our area.
Learn more by visiting our website at
www.crystalcoasthospicehouse.org
Every Brick Tells a Story
“When symptoms of an illness become overwhelming, a hospice house offers the
comfortable surroundings of home and the 24
hour care often required. The Crystal Coast
does not have a hospice home to fill this need.
That is why I am asking you to join me in this
project.”
General Hugh Shelton
One Heartfelt Tribute.
Thank You!
SECU Crystal Coast Hospice House
Memorial Brick Campaign
Build the Future by
Celebrating the Past
Commemorate
Honor
Celebrate
Memorialize
We All
Story to
Have a
Share.
Share Yours!
Share Yours!
Every Brick Tells a Story
Share Yours!
The SECU Crystal Coast Hospice House
Memorial Garden & Pathway provides a
lasting opportunity to remember loved
ones, honor friends, say thank you and
celebrate life. The garden overlooks the
large pond, “Serenity”, and will feature a
beautiful display of engraved bricks to
be enjoyed by patients, families, friends
and visitors.
I would like to dedicate the following brick(s)
in the Memorial Garden & Pathway.
Please use the grids below to tell us your story. Please use capital letters when completing.
A punctuation mark and spaces are “characters” and require their own square.
We invite you to dedicate a
personalized engraved brick to
be placed in the Memorial
Garden & Pathway. By
dedicating an engraved brick,
you are creating a permanent legacy
that commemorates a special bond you
hold with those dear to you.
Gifts made to the SECU Crystal Coast
Hospice House Memorial Brick
Campaign will help us reach our final
construction goal of $5 Million, as well
as provide for ongoing repairs and
support for programs that enhance the
care provided at the hospice home.
____ 4” x 8” brick(s) at $150
$__________
____ 8” x 8” brick(s) at $300
$__________
____12” x 12” brick(s) at $500
$__________
Total donation enclosed
4” x 8” …………... $150 donation (inscription limit of 3 lines, 20 characters per line)
$__________
Please fill in your message using the adjacent
grids. Please make additional copies or use a
second form to provide information for more
than one brick of each size. Your message will
be centered at the time of engraving.
8” x 8” …………... $300 donation (inscription limit of 6 lines, 20 characters per line)
EXAMPLE for 4” x 8” brick
I N
L OV I NG
MY
ME M O R Y
OF
G R A ND P A R E NT S
F R O M
My brick is given
J O H NA T H O N
□in honor of □in memory of
______________________________________________
12” x 12” ……... $500 donation (inscription limit of 9 lines, 21 characters per line)
Please send notification of this gift to:
Name _________________________________________
Address ______________________________________
City ____________________ State ____ Zip _________
My brick is given
□in honor of □in memory of
______________________________________________
Crystal Coast Hospice House is a 501(c)(3) organization. Your
donation is tax deductible to the fullest extent allowed. Please
consult with your tax or financial advisor for guidance.
One Brick.
Please send notification of this gift to:
Name _________________________________________
Address ______________________________________
City ____________________ State ____ Zip _________
One Heartfelt Tribute.
Thank You!