MEMORIAL GROVE AT LAFRENIERE PARK by ycPLCf

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									          MEMORIAL GROVE AT LAFRENIERE PARK
                    APPLICATION

       HONOR OR REMEMBER A LOVED ONE, CLUB OR BUSINESS
***YOUR PURCHASE INCLUDES THE PLANTING OF A LIVE TREE PLACED IN
LAFRENIERE’S MEMORIAL GROVE AND AN ENGRAVED GOLD LEAF PLACED
ON A 200 LEAF “TREE OF LIFE” PERMANENTLY DISPLAYED IN LAFRIENERE’S
FOUNDATION BUILDING LOBBY. FOR MORE INFORMATION CALL 504-888-4245.

COST OF TREE AND LEAF                 $350.00
____I HAVE ENCLOSED A CHECK/MONEY ORDER MADE PAYABLE TO FRIENDS OF JEFFERSON THE BEAUTIFUL


MAIL CHECK TO:                FRIENDS OF JEFFERSON THE BEAUTIFUL
                              C/O JACKIE MADDEN
                              6112 STONIA ROAD
                              METAIRIE, LOUISIANA 70003
                              504-888-4245

SIGNATURE REQUIRED_____________________________________________________

Please print

NAME______________________________________________________________________

ADDRESS___________________________________________________________________

CITY_____________________________________STATE______ZIP__________________

DATE_______HOME TELEPHONE__________________WORK/CELL_____________


                               ENGRAVING INFORMATION
                           *****each tree/leaf requires separate form*****

ONLY ONE CHARACTER (LETTER, NUMBER, OR PUNCTUATION MARK) OR SPACE
PER DASH. EACH LEAF CAN HAVE UP TO FOUR LINES WITH NO MORE THAN 25
CHARACTERS OR SPACES PER LINE. TEXT WILL BE CENTRERED IN UPPER CASE
AND LOWER CASE.

FIRST LINE            __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

SECOND LINE           __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

THIRD LINE            __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

FOURTH LINE           __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

**FRIENDS OF JEFFERSON THE BEAUTIFUL AND PATRONS OF LAFRIENERE PARK RESERVE
THE RIGHT TO REFUSE TO ENGRAVE ANY MESSAGE THEY DETERMINE TO BE
INAPPROPRIATE, SUCH AS TELEPHONE NUMBERS, POLITICAL MESSAGES AND SUGGESTIVE
WORDING.

THIS NON-PROFIT PROJECT IS SPONSORED BY FRIENDS OF JEFFERSON THE BEAUTIFUL AND PATRONS OF
LAFRENIERE PARK.

								
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