Malta House of Care Building Blocks
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I would like a Malta House of Care Building Block!
Select Building Block size you wish to sponsor
Fill in your dedication. It could be your name, or “in honor of” or “in memory of” a loved one.
Complete the information below including your donation.
1. Sponsor Tiers
Building Block Sponsor
*
$1,000
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Sponsor Tier 1: Donation for 6" H x 10" W Building Block
$500
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Sponsor Tier 2: Donation for 5" H x 9" W Building Block
$250
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Sponsor Tier 3: Donation for 4" H x 8" W Building Block
2. Dedication
It could be your name, or "in honor of" or "in memory of" a loved one.
Dedication Text
*
Please note that there is a maximum of 5 lines with 14 characters per line (Note that space counts as a character)
3. Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
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Phone
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Please keep my gift anonymous
Yes
Thank you very much for your continued support of our patients and our mission!
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