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L a V i s t a
      Memory Garden Donation Form



Print completed form and mail to:
AFED % Myra Morell
1401 Pine Knoll Drive
Austin, TX 78758



Your Name:


Street Address:


City, State Zip:


Brick (NO Logo) (3 lines 16 characters each line)








Brick (With Logo) (3 lines 13 characters each line)







Logo Choice:                Select logo from http://www.brickstonegraphics.com/brickstone/PDFS/LOGOCHOICES.pdf