Prayer & Memory Garden | ninthdistrict

Daniel Payne Legacy Village Foundation

Legacy of Hope Capital Campaign

Yes, I would like to reserve a permanent brick(s).

Please engrave my brick(s) as follows:

ANY SYMBOL IS CONSIDERED ONE SPACE (PERIOD, COMMA, DASH)

ALL TEXT IS CENTERED UNLESS OTHERWISE NOTED

Maximum for 4 x 8” brick is 84 Characters

Maximum for 8 x 8” brick is 164 Characters.

Download and Complete this Brick Order Form

Steps to Purchase Your Brick

On-Line Payments: Click this link to pay for your order https://www.danielpayne.org/prayergarden

1. Download and complete the Brick Order Form

2. Go to “file” at the top of the menu and click “save”

3. Email the Brick Order Form to:

Or To order by mail:

PLEASE RETURN THIS FORM AND YOUR CHECK PAYABLE TO:

Legacy of Hope/Brick Campaign

Daniel Payne Legacy Village Capital Campaign

1500 Daniel Payne Drive | Birmingham, AL 35214

If you have any questions, call Dr. Stafford Thompson at 334-477-6904