Bricks R Us | Hospeace House Inc

DONATE

Remember a loved one with a commemorative Memorial Brick to be placed in the Hospeace House Memorial Garden. Your loved one will be remembered forever when his or her brick is installed along one of Hospeace House's special Memorial Walkways. Your contribution is tax deductible and it will serve to enhance our mission of care to others. We thank you along with our Hospeace families – past, present and future.

		* Your Name
		Your Company If you represent a company or organization, enter their name.
		* Street Address
		* City
		* State/Province
		* ZIP Code/Postal Code
		* Phone Number
		Fax Number
		* E-Mail Address
		* Brick Size
		Would you like to receive a Donor Certificate?
		Would you like to receive a Donor Brick?
		* Donation Amount	$
		Press the Continue button to enter the customized text that will be engraved on your bricks.