Personalized Paving Brick Order Form

Another great way to remember or honor a loved
one! A limited series of outdoor paving bricks
line the sidewalk to the Wisconsin Humane Society
building. For a $250 donation, your inscription
on a 4"x8" brick can include 3 lines, with up to
14 characters per line including spaces. For a
$500 donation, your inscription on an 8"x8" brick
will include 6 lines, with up to 14 characters
per line including spaces.

  Please fill out your contact information.

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Name:

 

 

 

     

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City/State/ZIP:

 

    

 

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If you respond and have not already registered, you will receive periodic updates and communications from The Wisconsin Humane Society.

 


 


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Here is an example of how we will format your brick inscription based off your brick choice and size.

$250- 4"x8" (3 lines, 14 characters per line including spaces)

Example: _ _ _ _ _ _ _ _ _ _ _ _ _ _

               _ _ _ _ _ _ _ _ _ _ _ _ _ _

               _ _ _ _ _ _ _ _ _ _ _ _ _ _

$500- 8"x8" (6 lines, 14 characters per line including spaces)

Example: _ _ _ _ _ _ _ _ _ _ _ _ _ _

               _ _ _ _ _ _ _ _ _ _ _ _ _ _

               _ _ _ _ _ _ _ _ _ _ _ _ _ _

               _ _ _ _ _ _ _ _ _ _ _ _ _ _

               _ _ _ _ _ _ _ _ _ _ _ _ _ _

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   Please leave this field empty