| THE WALKWAY OF RECOGNITION
Have you been searching for just the right gift or thought
of placing your name in perpetuity? If so, then consider
purchasing an engraved brick for you or someone else.
The main sidewalk at the Florida Pharmacy Association needs
replacing. The Florida Pharmacy Foundation has undertaken
the project to repair and beautify the sidewalk with engraved
personal bricks purchased by pharmacists or friends of
pharmacy.
Engraved 4x8 bricks can be purchased for $250.00 each with
the donor’s name engraved (3 lines available) or you could also
purchase an engraved brick for someone you feel should be
honored or remembered.
The monies earned from this project will be used to fulfill the
goals and future of the Foundation. There are a limited number
of bricks available – so, it is fi rst come fi rst served.
| O R D E R F O R M |
The Walkway of Recognition ❑ YES, I want to order _______ concrete brick/s at $250.00 each. (Please copy form for additional inscriptions). |
Please Print Inscription ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ |
|
| The concrete bricks are 4x8 and can be engraved with up to 14 characters per line, three lines
available, spaces and punctuation count as one character. Please find enclosed my check for
$_________ for _________ bricks.
PLEASE PRINT:
Please charge my ❑ Master Card ❑ Visa
CARD #________________________ EXP. DATE_________
AUTHORIZED SIGNATURE____________________________
NAME___________________________________________
ADDRESS________________________________________
CITY________________________ STATE____ ZIP_______
PHONE (W)________________ (H)___________________
Send to Florida Pharmacy
Foundation, 610 N. Adams St.,
Tallahassee, FL 32301,
or fax to (850) 561-6758.
Printable Form and Mail in with you Donation
|
|
Contributions to the Florida
Pharmacy Foundation are
tax deductible as a charitable
contribution for federal income tax
purposes. Consult your CPA for
complete details. Fed Emp. I.D.
#59-2190074
A COPY OF THE OFFICIAL
REGISTRATION AND FINANCIAL
INFORMATION MAY BE OBTAINED
FROM THE DIVISION OF
CONSUMER SERVICES BY CALLING
TOLL-FREE 1-800-435-7352 WITHIN
THE STATE. REGISTRATION DOES
NOT IMPLY ENDORSEMENT,
APPROVAL OR RECOMMENDATION
BY THE STATE. |
|