SHARE Atlanta's (SA) Printable Form for Memorial Garden Brick Orders

Ordering Details:

Updated 5.09 - Bricks will now be ordered once annually.

Memorial Brick (to be part of SA's angel garden): Because SHARE Atlanta wishes to make this brick memorial garden an available option for bereaved families for a very long time, we ask that each family please limit pathway bricks to one per child.

Keepsake Brick(s)(for you to "keep" in your own home or garden): These do not have to be an exact copy of your Memorial Brick, and families may order more than one per baby. This way parents can create their own private memorial garden if they wish to. Please note: the Keepsake bricks will be available for pick-up at either the SHARE Atlanta annual October Memorial Service or the November Women's Candlelighing.

Print clearly

Place “Memorial Bricks” in the memo section of your check

Copy form and send it to our address along with your check.

Questions? E-mail Jennifer - click on icon. (jenggreer@comcast.net)

Each brick can have up to 3 lines of text, with 14 characters per line.

line 1 ________________________________________________________________

line 2 ________________________________________________________________

line 3 ________________________________________________________________

Name: _________________________________________________________________

Address: ________________________________________________________________

City___________________________State:_______________Zip:_____________

Phone: _____________________________________

E-mail: _____________________________________

Icons - check one: These may or may not be available.

Heart___ Star___ Star of David ___ Cross___ None___

Cost:

Memorial Brick $25.___ Keepsake Brick $20__

Please make checks payable to “SHARE Atlanta” and write “Memorial Bricks” in the memo section of your check.

Jennifer takes these orders. Please send, at least by email, the information required to order the bricks by the stated date so we can begin the process. You can then mail Jennifer a check with the SAME information enclosed in an envelope. Please include your email in your letter. She will email you that she has received the order.

Order Deadline: Orders must be received by August 15 and will be placed in the Memorial Garden by our annual October Memorial Service

Keepsake Bricks

Keepsake Bricks will be available for pick-up at the annual SHARE Atlanta October Memorial Service and the annual SHARE Atlanta November Women's Candlelighting.

Send to:

SHARE Atlanta
Memorial Brick Project
PMB 212
9925 Haynes Bridge Road
Suite 200
Alpharetta, GA, 30022

Thank you. We have been touched by the response to the pathway and angel. We hope that in some small way, this aids you in your healing. Marcia McGinnis, President of SHARE Atlanta - A volunteer pregnancy and newborn grief support group.

The Story around SA's Angel & Memorial Bricks -click on hearts