Yes

PLEASE PRINT THIS PAGE AND MAIL TO THE LISTED ADDRESS

  Yes!  I would like to help.

  I would like to volunteer.  Please contact me.

  I would like to offer an in-kind donation.  

  I am enclosing:

  Circle the amount enclosed:

  Imprinting Instructions: 

_____________________________________________________

_____________________________________________________

_____________________________________________________

 

     $ ______  Endowment Fund

     $   75.00    Rose Garden Imprinted Brick

     $   40.00    Wildflower Garden Imprinted Brick

     $    35.00    Walkway Imprinted Brick

     $     10.00   Annual Dues

     $ _______  Donation

     $ _______  Total Enclosed

                                                                                    

  Make checks payable to:

  LIVING AIDS MEMORIAL GARDEN

  Post Office Box 11704

  Charleston, WV  25339

 

 Name      ____________________________ 

 Address   ____________________________

                 ____________________________ 

 Telephone ____________________________

 

For more information, call 304-346-0246.  All donations are tax-deductible.

WV residents may obtain a summary of the registration and financial documents from the Secretary of State, State Capitol, Charleston, WV  25305.  Registration does not imply endorsement.

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