

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.