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Brick Donation

Celebrate a life - for your donation you can personalize your own brick in our Timothy Kelly Terrace. Honor someone Special: a cancer survivor, mentor, parent, friend, caring physician, nurse, or therapist. Make your story part of our history! Orders are placed periodically by batch, installation happens when weather permits.

4" x 8" $325 (3 lines of text, 15 characters a line with spaces)
8" x 8" $475 (6 lines of text, 15 characters a line with spaces)

Questions? Contact Dawn Schulze at 203-790-6568 x106, 8am-3:30pm.

Contact Information

Donor Name *

First Name

Last Name

Donor Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Donor Email *

Verify Email *

Please select the size of your brick and give us your inscription!

Brick Size: *

$325 - 4" x 8" Brick (1-3 Lines of Text)

$475 - 8" x 8" Brick (1-6 Lines of Text)

Line One

Maximum of 15 characters including spaces and punctuation.

Line Two

Maximum of 15 characters including spaces and punctuation.

Line Three

Maximum of 15 characters including spaces and punctuation.

Line Four (only for 8x8 brick)

Maximum of 15 characters including spaces and punctuation.

Line Five (only for 8x8 brick)

Maximum of 15 characters including spaces and punctuation.

Line Six (only for 8x8 brick)

Maximum of 15 characters including spaces and punctuation.

Ann's Place is pleased to accept donations to celebrate a life, or an individual.

Is this gift in Honor of someone?

No

In Honor

Name of person gift is in Honor of:

First Name

Last Name

Would you like us to send a notification letter on your behalf regarding this gift? *

No, thanks

Yes

Name of person to receive notification

First Name

Last Name

Address for notification letter - Please enter address the way you would want to see it on an envelope. Case, spelling and spacing matter.

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Additional Comments

Please allow 6-8 weeks for brick to arrive at Ann's Place

Add 3% to my total amount to help cover the payment processing fees