Deepwood foundation tribute garden brick donation form Donor Contact Information * First Name Last Name Company Name: (If applicable) Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email: Phone: (###) ### #### Choose payment method: Check (Mailed to Deepwood Foundation) Credit Card Brick Choice & Personalization Choice of Brick: 4x8 inch standard (up to 3 lines of text; 16 characters per line) $150 8x8 inch large (up to 6 lines of text, 16 characters per line) $275 8x8 inch large w/ logo (up to 6 lines of text, 16 characters per line, plus company logo) $500 Text Line 1: (16 character maximum) Text Line 2: (16 character maximum) Text Line 3: (16 character maximum) Text Line 4: (16 character maximum) 8x8 bricks only Text Line 5: (16 character maximum) 8x8 bricks only Text Line 6: (16 character maximum) 8x8 bricks only If you are purchasing an 8x8 brick with logo, please email your company logo (in JPEG, JPG, or PNG format) to: deepwood.foundation@lakebdd.org Thank you!
