PAVER DONATION FORM

Cary Senior Center Memorial Garden

Remember a loved one, honor a friend or recognize a colleague with a gift paver to the Cary Senior Center Memorial Garden. With a $100 or more donation, an engraved paver will be placed in the Memorial Garden, surrounded by beautiful gardens and a relaxing fountain. This contribution to Friends of Cary Senior Center shows your support of the Cary Senior Center, while also recognizing, honoring or remembering someone in a unique way.

Recipient Information

IS THIS A GIFT? IF THIS IS A GIFT, please provide contact information below for the recipient.

IF THIS IS NOT a gift, please disregard this section and proceed to Donor Information.

Gift recipient name, address, phone, email

Donor Information

WHO IS MAKING THIS DONATION? Please provide your contact information below.

DONOR first name

Donor last name

Donor street address

City

State

Postal / Zip code

Donor email

Donor phone

Today's date

Paver Content

Please print text in the spaces below. There is a maximum of 3 lines per paver and no more than 17 characters per line (characters include letters, dots, dashes, spaces, numbers, etc.). Please use one form per paver.

Line 1

Line 2

Line 3

Note: When you click the SUBMIT button, the information you submit will disappear from your screen. Therefore, you may want to print this page before pressing SUBMIT to maintain a copy of your submission. (For Windows, press Ctrl+P; for Mac, press Cmd+P; or right-mouse-click and select Print to either print the page to your local printer or save it as a PDF to a location on your computer.

Click the SUBMIT button to electronically email your request for one paver. Provide payment separately. See payment information below for instructions on submitting your payment.

Thank you for your request for an engraved paver for the Memorial Garden at the Cary Senior Center!

Payment Information

You may submit this form electronically by selecting SUBMIT above. Separately, make your check ($100 minimum per paver) payable to: Friends of Cary Senior Center.

You can then ...

Bring your check to the front desk at the Cary Senior Center, located at 120 Maury Odell Place in Bond Park in Cary, OR
Mail your check to:

Friends of Cary Senior Center
c/o Cary Senior Center
120 Maury O'Dell Place
Cary, NC 27513

Thank you for supporting Friends and the Cary Senior Center through your tax deductible paver donation.

The Cary Senior Center is a Cary facility. For more Information, please visit www.carync.gov.

Friends of Cary Senior Center is a 501(c)(3) non-profit organization whose purpose is to support and enhance the efforts of Cary, to provide a place for senior adults to meet with their peers and to participate in recreational, educational, health and wellness programs.

If you have questions, please call (919) 469-4081.