To have your name permanently displayed in support of the permanently “leave your mark on Isanti County Historical Society, please complete this form history” in a brick paver at the Isanti and send it with your contribution to: County Historical Society. Whether it ICHS is your name, or that of a family ATTN: Pavers to Preserve the Past ancestor, these brick pavers will line 33525 Flanders St. NE the entrance to the Heritage Center, Cambridge, MN 55008 for all to see. Please check the size paver you would like: 4” x 8” paver w/3 lines of text ($100) What better way to commemorate a 8” x 8” paver w/3-6 lines of text ($250) birth, memoriam, marriage, anniversary, or other milestone in Please print clearly. Your name or in memory of someone else: someone’s life. Show business Line 1: support with your logo, or other business milestone. Line 2:
“Preserve the Past” fundraiser Line 3:
profits will support the programs of the historical society, and future For 8” x 8” paver, you may include up to three additional lines: generations will view your brick Line 4: paver as an investment in Isanti County History. Line 5:
Available in two sizes, the brick Line 6:
pavers accommodate 3-6 lines of text. Each brick paver may also be AVAILABLE ICONS BELOW. If you would like an icon added to your personalized with an icon at no extra paver, please circle your choice below (no extra charge). charge. (please see available choices on order form).
“Preserve the Past”
Paver options: Wedding rings Cross Dove Heart Star
• 4” x 8” paver, 3 lines of text: $100
Please provide the following contact information should we have • 8” x 8” paver, 3-6 lines of text: any questions regarding your order. $250 Name: ___________________________________________________ Address: _________________________________________________ For additional information, _________________________________________________________ contact Kathy McCully at 763-689-4229, or via Phone: ___________________________________________________ email: ichsdirector@izoom.net. Email: ___________________________________________________
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