PAVE
THE WAY TO EBHS' SUCCESS WITH A MEMORIAL BRICK IN HONOR OR MEMORY OF A LOVED
ONE!
Give a lasting tribute or help the mission of EBHS through a contribution that
supports our new shelter.
Purchase a personalized brick as lasting tribute to a cherished friend or
companion.
Engraved bricks will be used in the future for shelter’s
landscaping plans. |

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Questions? Call 262-782-9261 and
ask for Karen Sparapani, Community Outreach Director or email karen@ebhs.org.
BRICK ORDER FORM
4 x 8 Red Bricks—$100 each
# of bricks: __________
Bricks can have up to 3 lines each with a maximum of 14 characters per
line. Spaces, numbers, and punctuation each count as characters.
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Name: _____________________________________________
Address: ___________________________________________
City: ______________________________________________
State: _____________ Zip: ______________
Phone: ____________________________________________
Email: _____________________________________________
_____ Check enclosed payable to Elmbrook Humane Society.
_____ I wish to pay by credit
card. _____
MC _____ VISA
Card #:
___________________________________________ Exp.
__________
Signature:
_________________________________________
Please complete and return to:
Elmbrook Humane Society
20950 Enterprise Avenue
Brookfield, WI 53045
Payment required at time of order.
The Elmbrook Humane Society is a 501(c)3 non-profit organization. All
donations to the shelter are tax-deductible.
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