SPONSOR A TRIBUTE/MEMORIAL BRICK

For the entrance at Pioneer Cemetery & be a permanent part of Valley history!
■ Promote your business or yourself as a supporter and contributor ■ Pay tribute to a living friend or loved one ■ Memorialize a deceased friend, relative or ancestor ■ Honor a favorite saying, pet, movie star, or politician!

Engraved Bricks are $60 each Up to 3 lines, 20 characters per line including spaces
($54.67 plus $5.33 tax)

Your brick purchase helps support the cemetery. You will be notified when your brick is ready to install if you wish to choose the location.

YES! I want to be part of Valley History & help preserve the historic Pioneer Cemetery. Please engrave my brick as follows: Please engrave my brick as follows:

Name ________________________________________________________________________ Phone _____________________________E-mail _____________________________________ Street Address__________________________________________________________________ City ____________________________________________State_____ Zip Code ____________
Enclosed is my check for $____________, payable to the San Fernando Valley Historical Society. Memo line should read: “Pioneer” MAIL TO: San Fernando Valley Historical Society P.O. Box 7039 Mission Hills, CA 91346 For more information call (818) 365-5860 Please copy this form for additional orders.

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