Engraved Brick 4"x8"

Engraved 4"x8" Paver- Anne Frank Human Rights Memorial

Please complete the information below to order your engraved 4"x8" brick for the Anne Frank Human Rights Memorial. Your brick will be installed in the Marilyn Shuler Outdoor Classroom paver bed.

$500.00 donation for the 4" x 8" engraved brick which includes up to 3 lines of text with up to 18 characters* per line. Please note that spaces count as a character.

Donation Amount: Line 2 Line 3

*Please note: Spaces count as characters.

Donor Information

Prefix: First Name: Last Name: Suffix: Address: City: State: Zip Code: - Email: Phone:

Additional Information (Optional)

Company: Department: Title:

Additional Note & Acknowledgee Information:

Donor Comment: Send Acknowledgement to (Name): Acknowlegee Address: Acknowlegee City: Acknowledgee Zip Code: - Acknowledgee Email:

If you would like to manage your account (i.e., view donation history, change address, etc.), please create a login name and password.