Camden Public Library · Bricks Campaign

Amount

*

$250 - One time payment of $250

$500 - 2 bricks - one time payment of $500

$750 - 3 bricks - one time payment of $750

$1000 - 4 bricks - one time payment of $1000

$25 - 10 monthly payments of $25 each. To pay monthly, select “Monthly" from the Payment Schedule menu below. Then, choose the date nine months from today’s payment-date to calculate your final payment end-date. Check out the handy info below for help calculating your end-date. Your brick will be installed after full payment is received.

Payment Schedule

Continue donating until

(mm/dd/yyyy)

Select your monthly payment end-date.

If it’s:

January now – Choose your October end-date

February now – Choose November end-date

March now – Choose December end-date

April now – Choose January end-date

May now – Choose February end-date

June now – Choose March end-date

July now – Choose April end-date

August now – Choose May end-date

September now – Choose June end-date

October now – Choose July end-date

November now – Choose August end-date

December now – Choose September end-date

If your end-date falls on the 29, 30 or 31 which does not exist in that month, please select the next possible day.

I would like the following message(s) on my 4" x 8" brick(s).

*

Each brick can fit 4 lines of 21 characters each. We recommend 3 lines of up to 18 characters. The choice is yours. Please note: this entry is not final. The exact wording for each brick will be confirmed via a separate form.

Contact Information

Name

*

First Name

Last Name

Organization/Business

Phone Number

*

Email

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country