Donation Honors Pathway

The IVC Juanita Salazar-Lowe Art Gallery has established a brick walkway through and around the historic cactus garden that surrounds the art gallery.
Complete this form for each brick purchase.

Brick Size Options

Brick Size Options $100 - 4"x8" Brick (3 lines/18 characters per line) $195 - 8"x8" Brick (6 lines/18 characters per line) $295 - 12"x12" Brick (9 lines/22 characters per line)
Would you like a duplicate brick to keep for yourself?

Would you like a duplicate brick to keep for yourself? Yes (add an additional $25) No
Text for my brick

Symbols and spaces count as characters
Name Name Title First Last Suffix
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Preferred Phone Preferred Phone - ### - ### ####
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Total

Donation Honors Pathway

Donation Honors Pathway

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Total

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