Commemorative Brick Donation Form

Commemorative Brick Donation Form

We invite you to become a foundational part of the "Building Our Future" project by purchasing a commemorative brick being added to the main entrance of the Greater Hansville Community Center. Please provide your contact information and provide the personalized text you would like to include to honor your family, remember a loved one, commemorate a special occasion, or simply make a lasting connection to this amazing community center.
Donor Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Brick Size & Pricing
Would you like to add clip art?
Clip Art Choice
Character limit of 20 characters per line
Character limit of 15 characters per line
Text to Engrave (Line 1)
Text to Engrave (Line 2)
Text to Engrave (Line 3)
Text to Engrave (Line 4)
Text to Engrave (Line 5)
Text to Engrave (Line 6)
Calculation
Please choose your preferred method of payment

USDThe donation amount will be prepopulated from your choice above.

Credit Card

ACH Bank Transfer

If you prefer to mail your payment, please send a check made out to Greater Hansville Community Center to: GHCC, PO Box 133, Hansville, WA 98340.

For more information about this project, visit our website at:

https://www.hansville.org/building-our-future/
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