How you can be a part.

 

In this beautiful courtyard, you can have your family, friends, or organizations recognized in a thoughtful and permanent manner. Custom engraved bricks can be dedicated for a tax-deductible contribution of $50.00 each.

 

Dedication of the brick can be arranged through:

 

                                                                                                DeWitt Medical Foundation

                                                                                                Sharon Weber

                                                                                                2550 N. Esplanade

                                                                                                Cuero, Texas 77954

                                                                                                (361) 275-0511 or  275-6191  FAX (361) 275-8970

 

The engraved brick will measure:

                                                                                                7 5/8” x 2 ¼”

 

The brick can be ordered with one, two, or three lines of lettering and up to 16 characters per line. Spaces are considered a character. Special symbols such as a cross, a heart, and a star are also available.

 

(PLEASE PRINT)

 

Line 1:                    __   __   __   __   __   __   __   __   __   __   __   __   __   __   __   __

 

Line 2:                    __   __   __   __   __   __   __   __   __   __   __   __   __   __   __   __

 

Line 3:                    __   __   __   __   __   __   __   __   __   __   __   __   __   __   __   __

 

 

Donor’s Name:    ____________________________________

 

Address:                ____________________________________

 

Phone:                   ____________________________________

 

Please return with your $50 contribution. Make checks or money orders payable to DeWitt Medical Foundation. Acknowledgements will be made of your contribution.

 

                                Visa                        MasterCard

 

In the amount of $ __________

 

Name on card: _________________________

 

Card #  _______________________________  Expiration date: ____________________________

 

*All contributions are tax deductible as provided by law.

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Please check if    Acknowledgement              or            Gift Certificate         is desired.

 

Name                     ____________________

 

Address                 ____________________