Laserfiche WebLink
CHRISTMAS BOX ANGEL OF HOPE <br />MEMORIAL BRICK ORDER <br />Contact Name <br />Address <br />Phone Work Home <br />e-mail address <br />Sponsored by: <br />In memory of: <br /># of Bricks $125.00 = $ amount enclosed <br />BRICK ENGRAVING <br />(Limited to 16 characters and 3 lines) <br />Line 1 <br />Line 2 <br />Line 3 <br />Return this information with check, VISA or MasterCard information to: <br />Maple Grove Parks and Recreation Board, ATTN: Brick Paver Program <br />12951 Weaver Lake Road, Maple Grove, MN 55369 <br />or fax to: 763-494-6453. <br />For additional information call 763-494-6504. <br />