The Wilsonville Public Library Foundation is offering the opportunity of a lifetime. Your name or the name of someone special in your life can be on an engraved bronze plaque placed on a 4" by 8" brick in a special plaza just outside the main entrance to the Library.
The bricks will be a special and permanent part of the Library - for you, your children, and your children's children - to enjoy forever. Bur the number of bricks is limited - reservations for bricks will be taken on a first-come, first-served basis.
To reserve a brick, return the order form with your $100 payment today.
Feel free to print the PDF order form, or print this page.
ORDER FORM (please print)
Name: __________________________________________________
Address: ________________________________________________
City/State/Zip: ____________________________________________
Telephone Number: ________________________________________
ENGRAVE THE FOLLOWING:
No more than 18 characters & spaces per line.
Brick 1:
___________________________________
___________________________________
___________________________________
Brick 2:
___________________________________
___________________________________
___________________________________
Brick 3:
___________________________________
___________________________________
___________________________________
Enclosed is my tax-deductible gift in the amount of $__________ for the brick(s) indicated.
___ Bricks @ $100 each = $ _______
___ Payment Enclosed (Payable to the "Wilsonville Public Library Foundation" or "WPLF")
Charge to: ___ Visa ___ MasterCard
Account#:___________________________
Expiration Date:______________________
Signature: __________________________
A GIFT THAT LASTS FOREVER!
A brick in the name of a friend or loved one always makes a wonderful gift. The Wilsonville Public Library Foundation will acknowledge your gift to the honoree of to the family of hte person being remembered. If you would like the Foundation to send an acknowledgement for a special gift or memorial brick, please indicate the name and address where the acknowledgement should be sent.
Send payment and completed form to:
Brick Impressions
Wilsonville Public Library Foundation
8200 SW Wilsonville Road
Wilsonville, OR 97070