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Put your family name at the PMHC door!
Friends and supporters of PMHC are invited to buy a personalized brick. Your brick will be displayed at the plaza area near the east entrance of PMHC. Each brick will be engraved with names to become a lasting tribute to all participants.
1. Regular Size Brick (4"x 8"): $68
Contribution
May include up to 3 lines of text, 14 characters per line including spaces and
punctuation.
( 3 lines of copy on brick, 14 letters each line)
Line 1 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
Line 2 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
Line 3 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
2. Double Brick (8"x 8"): $135 Contribution
May include up to 6 lines of text, 14 characters per line including spaces and
punctuation. (**or combination of artwork and text)
( 6 lines of copy on brick, 14 letters each line)
Line 1 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
Line 2 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
Line 3 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
Line 4 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
Line 5 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
Line 6 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
3. Black Polished Granite (8"x "8): $250
Contribution
May include up to 6 lines of text, 14 characters per line including spaces and
punctuation (**or combination of artwork and text)
( 6 lines of copy on brick, 14 letters each line)
Line 1 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
Line 2 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
Line 3 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
Line 4 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
Line 5 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
Line 6 | __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
**Basic logo artwork may be included on both styles of 8
x 8 bricks for an additional fee of $25.
To order a brick, select your size and fill in information above. Complete the
form below and mail with contribution, (amount of brick $68, $135, or $250) to:
Phelps Memorial Hospital Foundation
1215 Tibbals Street
Holdrege, Nebraska 68949
If you have questions, please contact:
Rhonda at 308-995-2856 rsjohnson@phelpsmemorial.com
Keri at 308-995-2970 klberry@phelpsmemorial.com
Name: ______________________________________________
Address: ____________________________________________
City: __________________ State: ______ Zip: ____________
Phone: ____________________________
Amount of Tax Deductible Donation: $______________
Style of Brick: [ ] Regular, (4 x 8) $68 [ ] Double, (8 x 8)
$135
[ ] Black Polished Granite, (8 x 8) $250
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