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Honor a Caregiver |
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Victory
in the Valley,
Inc. is offering you an opportunity to honor a caregiver by
ordering a brick
inscribed with their name that will be permanently placed in the
Caregiver Garden leading to the Survivor's
Garden.
For a
suggested donation of $25 a brick will be inscribed with the name of your friend
or loved one, and placed in the Caregiver Garden as a lasting tribute given in celebration of their life. |
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Print this form and
return to:
Victory in the Valley, Inc.
3755 E. Douglas
Wichita, KS 67218 |
Please make all checks payable to
"Victory in the Valley, Inc." |
Order a Caregiver Brick |
| In Honor Of: |
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Donor Information: |
_____________________________________
Name of Caregiver_____________________________________
Address
_____________________________________
City/State/ZIP |
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_____________________________________
Donor Name_____________________________________
Address
_____________________________________
City/State/ZIP
_____________________________________
Relationship to Honoree |
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