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Lopez Island Community Memorial
Help us populate the Community Memorial with the names of your loved ones: friends, family, ancestors, teachers, mentors, neighbors, organizations.
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Email
*
Your email
Name
Your answer
Address (City, State, ZIP)
Your answer
Email
Your answer
Plaque Size
4.5 x 3" (up to 15 words) - $75
9 x 3.5" (approx. 30 words) - $150
9 x 7" (approx. 60 words) - $300
Plaque Text (feel free to include for multiple plaques or email us your text to programs@lopezmuseum.org)
Your answer
Additional Plaque
4.5 x 3" (up to 15 words) - $75
9 x 3.5" (approx. 30 words) - $150
9 x 7" (approx. 60 words) - $300
Other:
Additional Plaque Text (feel free to include for multiple plaques or email us your text to programs@lopezmuseum.org)
Your answer
Fund Plaque for Someone Else
4.5 x 3" (up to 15 words) - $75
9 x 3.5" (approx. 30 words) - $150
9 x 7" (approx. 60 words) - $300
Other:
Additional or annual contribution to LIHS?
Your answer
Total Contribution
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Type of Payment
PayPal/CC (
https://tinyurl.com/5bhhmba5
)
Check payable to LIHS (P.O. Box 163, Lopez Island, WA 98261)
Other
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