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Baker Chapel
Pave the Pathway
Around our Prayer Garden with your personal remembrance, message or dedication.
~ Cost: $50.00 each ~
To reserve a permanent brick, please complete the following:

ANY SYMBOL IS CONSIDERED ONE SPACE (PERIOD, COMMA, DASH)
ALL TEXT IS IN ALL CAPS & WILL BE CENTERED

4X8 Brick
                                         
                                         
                                         
                                         

 

Example:
B R E N T , B E C K Y , R Y A N   &      
B L A K E   B U X T O N                  
B A K E R   C H A P E L   2 0 0 6        
                                         

PLEASE RETURN THIS FORM AND YOUR CHECK PAYABLE TO:

Baker Chapel United Methodist Church
c/o Becky Buxton
533 W. Tennyson Road
Boonville, IN 47601

Name: ________________________________________ Phone: (_______) _________________________

Address: _______________________________________________________________________________

City: ____________________________________ State: __________________ Zip: __________________

Email Address: ___________________________________________ Amount Paid: ___________________

FORMS MUST BE RECEIVED BY NOVEMBER 1, 2006.
If you have any questions, please call Becky Buxton @ (812)897-3407 or (812)202-0307.