Capital campaign for Apex Community Care for program and facility enhancement. We are creating a memorial/honor brick and garden at our new building.
*First Name:
*Last Name:
Your Company:
*Street Address:
*City:
*State/Province:
*Zip code:
*Phone Number:
*Email Address:
*Clip Art/Logo/Artwork?: YES NO
OR
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*Brick/Tile Size: Select Brick/Tile4x8 brick(Random Color 4x8) - $1508x8 brick(#10 Red) - $35012x12 brick(Beige Concrete) - $750
*Amount($):