Hospice House of Greenville is offering engraved bricks for a limited time. Each brick will cost $100, and they will be placed in the Central Courtyard of the McCall Hospice House of Greenville. This is a great way to remember or honor a loved one.

Name: ______Phone Number: ______

Address: ______# of Bricks ($100 each): ______

______Total: $______

Make checks payable to Hospice House of Greenville and mail to:

McCall Hospice House of Greenville, 1836 West Georgia Road, Simpsonville, SC, 29680

Fax # 864-688-1705

*If you would like to purchase additional bricks please make additional copies of this order form.

MESSAGE TO BE ENGRAVED:

Limit three (3) lines per brick

14 Characters per line

(Punctuation marks and spaces are characters)

Brick #1- Please Print

Brick #2- Please Print

Thank You for Your Support!

**Please Note: Bricks are installed once a year. Therefore your brick order may not be placed in the garden for a period of time. If you have any questions concerning the installation, please call 864-688-1787.