MRSC Brick Form - Paver Text Form

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You've donated, & now we need the info for your brick! What a LEGACY to leave in our beautiful downtown!
If you donated $250, you qualify for a small brick at 4"x8", up to 3 lines of 13 characters ea
If you donated $500, you qualify for a medium brick at 8"x8", up to 6 lines of 13 characters ea

Email *

Donor's Name (use for contacting)

Donor's Address

Donor's Phone Number

Text on Paver Line 1 (13 character max)

Text on Paver Line 2 (13 character max)

Text on Paver Line 3 (13 character max)

Text on Paver Line 4 (13 character max) (Medium Brick Only)

Text on Paver Line 5 (13 character max) (Medium Brick Only)

Text on Paver Line 6 (13 character max) (Medium Brick Only

THANK YOU!

Your donation is making this very special impact on our community- we can't say thank you enough!
-Marion Ross Statue Committee

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