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Please click here to see our 2012 Annual Report

Donate a Commemorative Brick

Required fields in bold.

The mission of the Center for Building Hope is to help people affected by cancer enhance their health and well-being through participation in a professional program of support, education and hope.  All programs are free of charge and will improve the quality of life for people affected by cancer.

By purchasing a commemorative brick, you are helping to secure the resources necessary to help those affected by cancer and their loved ones to play an active role in the recovery process.  Bricks will be displayed in the Courtyard Meditation Garden at the home of the Center for Building Hope. You will receive notification when your brick has been placed in the courtyard.

GIFT CERTIFICATES AVAILABLE

If you would like to purchase a commemorative brick as a gift and allow your friends and family to choose their own personalized message, then a gift certificate may be the perfect solution.

For more information, please call 941-921-5539 and ask for Debbie Dreier.

Should the brick start with:
 In Honor Of:
 In Loving Memory Of:
 In Celebration Of:
 
Line 1 should read (maximum 18 characters):
Line 2 should read (maximum 18 characters):
 
I would like to purchase:
 1 brick for $150 ($150 each)
 3 bricks for $540 ($135 each)
 5 bricks for $600 ($120 each)
 
Additional Donation Amount (Optional)
Please enter the amount of the donation that you would like to be charged to your card at this time. Please do not enter commas or a dollar sign.
Total amount to be charged to credit card
Special Instructions - any special information about the donation

 

CVV2 is a security measure we require for all transactions. Since a CVV2 number is listed on your credit card, but is not stored anywhere, the only way to know the correct CVV2 number for your credit card is to physically have possession of the card itself. All VISA, Discover, MasterCard and American Express cards made in America in the past 5 years or so have a CVV2 number.
How to find your CVV2 number:
On a VISA, Discover or MasterCard, please turn your card over and look in the signature strip. You will find (either the entire 16-digit string of your card number, OR just the last 4 digits), followed by a space, followed by a 3-digit number. That 3-digit number is your CVV2 number.
VISA, Discover & MasterCard

On American Express Cards, the CVV2 number is a 4-digit number that appears above the end of your card number. (See below)

 

Organization/Group Name (optional)
Name on Credit Card
Billing Address 1
Billing Address 2
Billing Address City
Billing Address State
Billing Address Zip Code
Email Address
Phone number
Type of Credit Card
Credit Card Number
CVV Number (See explanation above)
Expiration Date
Name to appear on Tax Receipt/Confirmation
I would like this donation to remain anonymous.

We never sell or rent our supporters’ names.

PLEASE NOTE - Please only hit the 'Submit' button once, in order to prevent multiple charges on your credit card.

Before submitting this form, please click on the link below to move the contents of box "A" into box "B" leaving the first box empty.

A: B: Click to Move