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www.taradrummond.com

 

Memory Brick Order Form

 

         

Kennesaw Police Officer Tara Drummond lost her life on September 13, 2005. Because Tara was a dog lover, a community dog park is to be built on The Silver Comet Trail in her memory.

Memory Bricks will line the Park entry

$35.00 per Brick

In Memory of someone,,,or,,,Your Pet's Name

,,,or,,,Your Name,,,or,,,your choice

 

Print Text EXACTLY as you wish

it to appear on the Brick:

(please submit a separate form for each Brick ordered)

Line#1 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Line#2 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Line#3 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

 

Make Checks payable & mail to:

Tara Drummond Memorial Park, Inc.

P.O. Box 299

Dallas, GA 30132

e-mail to:     tara.memorial@comcast.net

online ordering at:    www.taradrummond.com

Donor Name: _______________________________________

Address:  __________________________________________

City:  ____________________State:  ________Zip:  ________

Daytime Phone:  ____________________________________