Order
a Unique Wilkeson Stone Paver Today!!
Help
Renovate Kirkland’s Historic Church for Public Use!
Cost
for Individual Paver -
$50.00
5 3/4 Inches Square, 2 inches thick with 2 lines of 16 letters
A third line is available for an additional $10.00
PLEASE COMPLETE ONE FORM PER PAVER.
PRINT IN UPPERCASE, BLOCK LETTERS
Line 1
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Line 2
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Line 3 (Line 3 is optional for an additional $10.00)
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Purchased By: _________________________________________
Address:
_____________________________________________
City
/ State: _______________________________ Zip: _______
Phone:
_____________________ E-mail: ___________________
Amount Enclosed: _______________ Check # ______________
If your company matches contributions, please enclose the company provided completed form.
1032 - 4th Street Kirkland, WA
98033.
If
Questions, Please Call: 425
828-4095
The
Kirkland Heritage Society qualifies for tax exemption under 501 (c) (3) and
your donation is deductible to the extent allowed by law.
We also qualify for match contributions by those employers who offer
this benefit.