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How Make Your Brick Donation
Print this page and fill in the information for each brick and bring or mail the form with your donation to the Woodford County Historical Society, 121 Rose Hill, Versailles, KY 40383.
Yes! I want to leave my mark on Woodford County history! I am enclosing my donation of $________ (minimum donation $100 for each brick). Please inscribe my brick as follows (please print legibly):
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Each brick inscription may have up to three (3) lines of text with up to 18 characters per line. Spaces and punctuation count as characters.
Please make your check payable to the Woodford County Historical Society and mail with this completed form to 121 Rose Hill, Versailles, KY 40383.
Name: ______________________________________
Address: ____________________________________
City: _______________________________________
State: _____________________ Zip: ______________
Daytime Telephone: ____________________________
E-Mail: _____________________________________
Send the Certificate of Ownership to:
____ Same person as above
____ Someone else (please fill in information below)
Name: ______________________________________
Address: ____________________________________
City: _______________________________________
State: ______________________ Zip: _____________
NOTE: Although bricks will be engraved and installed in a timely manner, the date of placement cannot be guaranteed due to requirements of the engraver and the necessity to hire an outside contractor to install the bricks. Donors will be notified when their brick has been installed.
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